南京地区某医院急救患者成分输血情况调查  

An Investigation of Blood Consumption in Hospital Emergency in Nanjing

作　　者：孔晓君 方献春 庞智睿[1] 张红梅[1] KONG Xiao-jun;FANG Xian-chun;PANG Zhi-rui(Department of Transfusion Medicine,Jiangning Hospital of Nanjing Medical University,Nanjing,210000)

机构地区：[1]江苏省南京市江宁医院输血科

出　　处：《临床输血与检验》2019年第4期372-374,共3页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：南京市科技发展指导性计划（No.2015ZD009）资助

摘　　要：目的了解急救患者成分输血量及输血疗效,为制定急救用血库存及优化急救用血方案提供依据.方法回顾性分析2013年1月~2016年12月本院219例急救用血患者的临床资料,对急救用血患者的病种、血型及红细胞悬液、血浆、血小板和冷沉淀输注量进行分类统计分析,比较输血前后血液学指标的变化.结果急救患者用血中A型红细胞用量略高于其他几种血型,急救用血量占各型总用血量均不足10%.多发伤红细胞平均用量为(8.27±4.77)U,明显高于产科大出血、消化道大出血及其他手术意外出血组,产科大出血组血浆、血小板及冷沉淀平均用量分别为(852.27±185.45)mL、(6.82±8.94)U、(6.18±8.94)U,与其他几组相比略高,差异有统计学意义.急救患者经输血治疗仍有不同程度的贫血,而凝血指标得到明显改善.结论适当提高A型红细胞的急救库存比例,并根据病种不同制定应急储备血量,合理使用各种血液成分,可更好地保障危重患者的生命安全.Objective To study the amount and therapeutic effects of blood transfusion and formulate the storage and scheme optimization for blood use in emergency medicine in the hospital.Methods Clinical data of 219 patients with urgent blood transfusion were retrospectively analyzed from 2013 to 2015.The variety of diseases,blood types,consumption of red blood cells,plasma,apheresis platelets and cryoprecipitate were statistically analyzed,respectively.Results Blood of group A was more frequently used than other blood types in emergency treatments,and only less than 10%of total blood was used for transfusion on emergency.The average usage of red blood cells in trauma was(8.27±4.77)U,significantly higher than that in obstetrics and gastrointestinal and other unexpected hemorrhages.The frequencies of plasma,apheresis platelets and cryoprecipitate consumption in obstetric bleedings were(852.27±185.45)mL,(6.82±8.94)U,and(6.18±8.94)U,respectively,which was remarkably higher than in other diseases.Patients with blood transfusion on emergency still showed various degrees of anemia while the coagulation index generally recovered.Conclusion The inventory of the group A blood for first-aid use in the hospital should be increased.The secure amount of blood in storage should be ensured based on the consumption of blood and blood products for emergency treatments.

关 键 词：急救用血 成分输血 

分 类 号：R457.1[医药卫生—治疗学]