成分输血与全血输注在抢救产科急性弥漫性血管内凝血患者临床效果  

Clinical Effects of Component Transfusion and Whole Blood Transfusion in Patients with Acute Diffuse Intravascular Coagulation

作　　者：王照军 陆西平 WANG Zhao-jun;LU Xi-ping(Zibo City Center Blood Stations, Zibo, Shandong Province, 255000 China;General Surgery, the First Hospital of Chinese PLA, Zibo, Shandong Province, 255300 China)

机构地区：[1]淄博市中心血站机采成分科,山东淄博255000 [2]解放军第一四八医院普外科,山东淄博255300

出　　处：《中外医疗》2019年第8期39-41,共3页China & Foreign Medical Treatment

摘　　要：目的在抢救产科急性弥漫性血管内凝血患者中应用成分输血与全血输注,以此分析成分输血与全血输注对患者临床效果的影响。方法方便选择产科急性弥漫性血管内凝血患者,共计100例,选择时间于2014年3月—2015年3月期间,行不同的输血方式:成分输血、全血输注,对应组别:研究组、对照组。经系统软件分析组间的输血后不良反应发生率、PLT、RBC、HGB、HCT、凝血酶原时间(PT)、凝血酶原时间(APTT)、FGB、凝血酶时间(TT)、D-D数据指标。结果研究组的输血后不良反应发生率(4.00%)、凝血酶原时间(APTT)(25.66±3.22)s经系统软件分析发现低于对照组,且研究组的PLT(98.22±8.76)×109/L、FGB (1.67±0.16)g/L高于对照组,差异有统计学意义(χ~2=5.01,t=6.07,6.22,7.21,P<0.05);研究组与对照组之间的RBC、HGB、HCT、凝血酶原时间(PT)、凝血酶时间(TT)、D-D数据指标差异无统计学意义(P>0.05)。结论成分输血在抢救产科急性弥漫性血管内凝血患者中更为安全有效,但是,还需要依据患者的具体血液学指标进行成分输血方案制定,以此确保抢救效果。Objective To analyze the effects of transfusion and whole blood transfusion on the clinical outcomes of patients with acute diffuse intravascular coagulation in obstetrics. Methods A total of 100 patients with acute diffuse intravascular coagulation in obstetrics were convenient selected. The selection time was from March 2014 to March 2015. Different blood transfusion methods were used: component transfusion, whole blood transfusion, corresponding group: study group, control group. The incidence of adverse reactions after transfusion, PLT, RBC, HGB, HCT, prothrombin time(PT), prothrombin time(APTT), FGB, thrombin time(TT), D-D data index were analyzed by system software. Results The incidence of adverse reactions after transfusion(4.00%) and prothrombin time(APTT)(25.66±3.22)s in the study group were lower than those in the control group, and the PLT of the study group(98.22±8.76)×109/L, FGB(1.67±0.16) g/L higher than the control group,the difference was statistically significant(χ~2=5.01,t=6.07,6.22,7.21,P<0.05);there was no difference in RBC, HGB, HCT,prothrombin time(PT), thrombin time(TT), D-D data between the study group and the control group, P>0.05. Conclusion Component transfusion is safer and more effective in the rescue of patients with acute disseminated intravascular coagulation in obstetrics. However, it is also necessary to formulate a component transfusion protocol based on the specific hematological parameters of the patient to ensure the rescue effect.

关 键 词：成分输血 全血输注 产科 急性弥漫性血管内凝血 抢救 临床效果 

分 类 号：R457.1[医药卫生—治疗学]