产科出血患者大量输血的相关研究  

A large number of studies on blood transfusion in patients with obstetric hemorrhage

作　　者：王静 

机构地区：[1]山东省德州市庆云县妇幼保健计生服务中心,山东德州253700

出　　处：《实用妇科内分泌电子杂志》2017年第21期4-5,共2页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析探讨产科在大量出血后给患者大量输血时,不同的血液输注成分、分量比例以及对患者的救治效果的影响。方法选择、因产科出血而导致的输注红细胞大于10U的患者为100例,将悬浮红细胞血浆比为1∶1的设为A组,血浆比为5∶2的设为B组,而血浆比为6∶4的则能够测定为每组输血前后凝血功能和血常规的变化。结果三组的患者在输血后的BE值明显增高,Lac值明显降低,输血后K+水平也高于输血前,而Ca2+水平低于输血前,输血后患者PT、APTT均大于输血前,差异有统计学意义(P<0.05)。结论大量的输血会导致患者身体内的情况发生变化,所以需要时时刻刻注意电解质及其凝血功能障碍^([1])。Objective To analyze the obstetric massive blood transfusion to patients after massive hemorrhage,differentbloodtransfusion,andtheproportionofcomponentsinfuencingthetreatmentofpatientswiththe effect. Methods The choice for obstetric hemorrhage caused by infusion of red blood cells than 10U patients 100 cases, the ratio of plasma suspended red blood cells 1：1 for A group, the plasma ratio of 5：2 to B group, while plasma ratio can 6：4 for determination of changes of blood coagulation function and blood routine of each group before and after transfusion. Results Three groups of patients was higher in blood transfusion after BE, Lac decreased signifcantly, thebloodK＋ level isalsohigher than thebeforeblood transfusion,CThe levelofa2＋ is lower thanbefore transfusion, blood transfusion in PT patients after APTT were higher than before transfusion, the differences werestatisticallysignifcant （P〈0.05）. Conclusion A large number of blood transfusion patients will lead to the body changes, so need to pay attention to electrolyte and blood coagulation dysfunction [1].

关 键 词：产科出血 患者输血 相关研究 血小板 

分 类 号：R714.461[医药卫生—妇产科学]