摘要
目的对脊柱外科手术围术期中成分输血护理的要素分析。方法采用回顾性分析法,整理2017年1~12月间1 757例脊柱外科手术输血患者的临床资料。结果在1 757例脊柱外科输血患者中,有1 525例患者输注悬浮红细胞,有1 401例患者输注了冰冻血浆,有37例患者输注了低温沉淀物,有19例患者输注了单采血小板;在1757例患者中最大悬浮红细胞输血量为6 000 mL,最小输血量为200 mL,平均输血量达到2 100 mL;在临床输血治疗中有11例患者发生输血反应,占总数的0.71%。结论为了保证脊柱外科手术患者尽早康复,对其进行手术输血非常必要。因此,对于输注不同成分血的患者,临床护理人员应根据成分血的性质给予恰当的护理措施,以避免患者在输血治疗中发生不良反应,保证临床输血的安全有效。
Objective To analyze the impact factors of perioperative nursing care in patients who underwent spinal surgeries. MethodsRetrospective analysis was used to analyze the clinical data in 1 757 patients with transfusion on spinal surgery in 2017. Results A total of 1 525 cases in 1757 transfusions on spinal surgery received suspended red blood cells, 1 401 cases were transfused with frozen plasma, 37 cases with cryoprecipitate, and 19 cases with apheresis platelets. The maximum volume was up to 6 000 ml and the minimum was 200 ml, with the average of 2 100 ml. Among them, eleven patients(0.71%) had adverse transfusion reactions. Conclusion Blood transfusion helps the patients for early recovery after spinal surgery. Appropriate nursing may contribute to reduction of adverse reactions following transfusion therapy.
引文
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