特定比例大剂量成分输血方案在危急重症患者抢救中的应用效果  

Application Effect of Specific Proportion High-Dose Component Blood Transfusion Scheme in the Rescue of Critically Ⅲ Patients

作　　者：苏华萍 蔡燕琴 SU Huaping;CAI Yanqin(Department of Blood Transfusion,Sanming First Hospital,Sanming 353000,china)

机构地区：[1]三明市第一医院输血科,福建三明353000

出　　处：《临床医学工程》2024年第9期1081-1082,共2页Clinical Medicine & Engineering

摘　　要：目的探讨特定比例大剂量成分输血方案在危急重症患者抢救中的应用效果。方法选取2020年1月至2022年10月我院收治的危急重症患者104例,随机分为参照组(n=52)和研究组(n=52)。参照组采用大剂量全血输血方案,研究组采用特定比例大剂量成分输血方案。比较两组的输血相关指标、凝血功能及输血不良反应发生情况。结果研究组冰冻血浆输入量、红细胞输入量及血小板输入量低于参考组(P<0.05)。研究组输血24 h后的PT、APTT长于参考组,FIB水平高于参考组(P<0.05)。研究组输血不良反应发生率为7.69%,低于参照组的25.00%(P<0.05)。结论特定比例大剂量成分输血方案在危急重症患者抢救中的应用效果较好,能有效节约血液资源,减轻对患者凝血功能的影响,降低输血不良反应发生率。Objective To explore the application effect of specific proportion high-dose component blood transfusion scheme in the rescue of critically ill patients.Methods 104 critically ill patients admitted to our hospital from January 2020 to October 2022 were selected and randomly divided into reference group(n=52)and study group(n=52).The reference group used high-dose whole blood transfusion scheme,and the study group used with specific proportion high-dose component blood transfusion scheme.The blood transfusion related indicators,coagulation function and adverse blood transfusion reactions were compared between the two groups.Results The frozen plasma input,red blood cell input and platelet input of the study group were lower than those of the reference group(P<0.05).24 hours after blood transfusion,the PT and APTT of the study group were longer than those of the reference group,and the FIB level was higher than that of the reference group(P<0.05).The incidence of adverse blood transfusion reactions in the study group was 7.69%,lower than 25.00%in the reference group(P<0.05).Conclusions Specific proportion high-dose component blood transfusion scheme in the rescue of critically ill patients has better application effect,and can effectively save blood resources,reduce the impact on coagulation function of patients,and reduce the incidence of adverse blood transfusion reactions.

关 键 词：危急重症 全血输血 成分输血 抢救效果 

分 类 号：R457.1[医药卫生—治疗学]