2011—2013年我院冰冻血浆输注模式分析  

Analysis of the mode of the frozen plasma infusion in our hospital from 2011 to 2013

作　　者：杨利[1] 康琼英[2] 闫国超[2] 李亚威[3] 

机构地区：[1]河北医科大学第一医院检验科,河北石家庄050030 [2]河北医科大学第一医院输血科,河北石家庄050030 [3]河北医科大学第一医院妇产科,河北石家庄050030

出　　处：《河北医科大学学报》2017年第1期59-61,65,共4页Journal of Hebei Medical University

摘　　要：目的分析我院2011—2013年冰冻血浆(frozen plasmce,FP)输注量以及输注模式的变化,为我院FP科学输注提供依据,从而提高血液资源利用率,降低患者负担和风险。方法回顾性查阅我院2011—2013年FP发放记录以及输血病历,比较不同年份FP使用量以及输注模式的变化。结果全院2011年共有981例患者输注FP,使用FP 9 186 U;2012年共有1 000例患者输注FP,使用FP 10 695 U;2013年共有1 000例患者输注FP,使用FP13 967 U。输注目的主要是补充血容量、补充凝血因子、纠正低白蛋白血症、大量输血时搭配使用以及营养支持。单独输注FP模式所占比例逐年降低,联合冷沉淀、血小板输注模式比例逐渐增加。结论有必要依据既往病例,查找输血过程中存在的不足,加强临床医生用血知识培训,推行合理规范的FP输注模式,逐步纠正不合理用血现象。Objective To improve the blood resource utilization and to reduce the patients/ burden and risk, and to summarize the characteristics of the frozen plasma（FP） infusion by analyzing the changes of FP infusion volume and infusion model in our hospital from 2011-2013. Methods Medical records of patients who have received＇the FP transfusion from 2011- 2013 were investigated. We compare the infusion mode and the volume of FP. Results In 2011, a total of 981 patients used FP 9 186 U. A total of 10 695 U FP was transfused to 1 000 patients in 2012 and there were 1 000 patients who used 13 967 U FP in 2013. The main aims of FP infusion were volume expansion, supplementing blood coagulation factors, adding serum albumin, collocation of large number of blood transfusion, and nutritional support. The infusion pattern of FP using alone was reduced year by year. The proportion of joint cold precipitation and platelet transfusion mode were increased gradually. Conclusion It is necessary for us to find the weaknesses in the course of blood transfusion based on the previous cases, and strengthen the training of doctors. We must promote reasonable standard mode of FP infusion in order to correct the unreasonable using of FP step by step.

关 键 词：血浆 输血 合理化 

分 类 号：R457.14[医药卫生—治疗学]