11016例外科手术患者用血分析  

Analysis on blood usage of surgery in 11016 cases

作　　者：汤和俊 舒小琴[1] 许桂平[1] 康琼华[1] 李晶晶[1] 高琦[1] 刘志东[1] 邱红春 张罗川 张娟[1] TANG Hejun;SHU Xiaoqin;XU Guiping;KANG Qionghua;LI Jingjing;GAO Qi;LIU Zhidong;QIU Hongchun;ZHANG Luochuan;ZHANG Juan(Department of Transfusion,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院输血科,400010

出　　处：《重庆医学》2018年第20期2718-2720,共3页Chongqing medicine

基　　金：国家自然科学基金项目(81101318;81601826);重庆市科学技术委员会基金项目(cstc2015jcsf10006)

摘　　要：目的调查单病种手术临床用血量,为合理用血提供参考依据。方法收集该院2013-2016年单病种手术例数及用血量,分析其用血量的特征。结果该院2013-2016年的52种手术共11 016例总用血量为6 039.60U,其中月均用血量大于或等于1U的有25种手术,例均用血量大于或等于1U的有19种手术,总用血量和月均用血量最大的是剖腹探查术,例均用血量最高的是二尖瓣置换术。微创手术月均用血量及部分例均用血量低于常规手术,差异有统计学意义(P<0.05)。结论病情复杂、创面大的手术用血量较高,微创手术可减少用血量。Objective To investigate the clinical blood usage of single-disease surgery,in order to provide a reference for rational blood usage.Methods The number of single-disease surgery and the amount of blood usage from 2013 to 2016 were collected to analyze the characteristics in blood volume.Results 52 operations involving 11 016 patients were selected with a total blood volume of 6 039.60 U in 2013 to 2016,there were 25 operations with monthly blood volume being more than or equal to 1 U,and there were 19 operations with blood volume per operation being more than or equal to 1 U,most usage of the total blood volume and monthly average blood volume was the laparotomy,the highest usage of blood volume per operation was mitral valve replacement.The usage of all monthly blood volume and partial blood volume per operation in patients with the minimally invasive surgery were less than those of the conventional surgery,the difference was statistically significant(P<0.05).Conclusion The patients with complicated conditions and large wounds need more blood usage volume,and the minimally invasive surgery can decrease the blood usage volum.

关 键 词：外科手术 手术用血 回顾性研究 

分 类 号：R457.1[医药卫生—治疗学]