810例烧伤患者的成分输血分析
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摘要
目的:分析2011~2017年本院烧伤患者的血液成分使用情况,为临床科室进一步科学合理用血提供理论依据。方法:回顾性分析2011~2017年本院810例烧伤患者输注血液成分的种类及使用情况。结果:810例烧伤患者共输注血液成分8 247.12 U,其中红细胞1 656.8 U(20.09%),血浆6 540.62U(79.31%),血小板21.5 U(0.26%),冷沉淀22.2 U(0.27%),全血6.0U(0.07%)。O型血患者成分血用量最多(2 848.08 U,34.53%),AB型血患者用量最少(766.32U,9.29%)。输血患者中,0~2岁婴幼儿患者最多(291例,35.93%)。结论:烧伤患者以无自主安全意识的婴幼儿和从事社会高危行业的中青年为主,使用的血液成分主要是冰冻血浆。临床医生应根据患者病情,及时准确地把握输血时机,科学合理地决定输血成分,在保证烧伤患者精准救治的同时,尽量降低经输血传播疾病的风险。
Objective:To analyze status of utilization of blood components in the burned patients so as to provide references for scientific and rational blood transfusion during therapy.Methods:A total of 810 cases of burned patients in our hospital from 2011 to 2017 were retrospectively analyzed,including types and amount of component blood transfusion.Results:The total blood components transfused were 8 247.12 U,including red blood cells1 656.8 U(accounted for 20.09%),plasma 6 540.62 U(accounted for 79.31%),platelet 21.5 U(accounted for 0.26%),cold precipitation 22.2 U(accounted for 0.27%),whole blood 6.0 U(accounted for0.07%).O-type blood was the maximum proportion(2 848.08 U,34.53%),AB-type blood was the minimum amount(766.32 U,9.29%).The most amount were found in burned patients during the age of 0-2(n=291,35.93%).Conclusion:The burn patients are mainly infants who have no self-conscious safety consciousness and young persons who engaged in the high risk industry of the society.The main blood components used are frozen plasma.Clinicians should accurately choose transfusion therapy according to the patient′s condition,scientifically and rationally decide the components of blood transfusion,and ensure the precise treatment of burn patients while minimizing the risk of transfusion transmitted diseases.
Objective:To analyze status of utilization of blood components in the burned patients so as to provide references for scientific and rational blood transfusion during therapy.Methods:A total of 810 cases of burned patients in our hospital from 2011 to 2017 were retrospectively analyzed,including types and amount of component blood transfusion.Results:The total blood components transfused were 8 247.12 U,including red blood cells1 656.8 U(accounted for 20.09%),plasma 6 540.62 U(accounted for 79.31%),platelet 21.5 U(accounted for 0.26%),cold precipitation 22.2 U(accounted for 0.27%),whole blood 6.0 U(accounted for0.07%).O-type blood was the maximum proportion(2 848.08 U,34.53%),AB-type blood was the minimum amount(766.32 U,9.29%).The most amount were found in burned patients during the age of 0-2(n=291,35.93%).Conclusion:The burn patients are mainly infants who have no self-conscious safety consciousness and young persons who engaged in the high risk industry of the society.The main blood components used are frozen plasma.Clinicians should accurately choose transfusion therapy according to the patient′s condition,scientifically and rationally decide the components of blood transfusion,and ensure the precise treatment of burn patients while minimizing the risk of transfusion transmitted diseases.
引文
[1]刘赴平,何子毅,田兆嵩.烧伤患者的输血[J].中国输血杂志,2007,5:447-451.
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[3]陈妙婵,蔡葵.重度烧伤患者烧伤初期内环境改变及输血治疗的探讨[J].国际输血及血液学杂志,2015,38(1):18-23.
[4]夏照帆,胡晓燕,王光毅,等.烧伤休克的发病机制和病理生理[J].中华损伤与修复杂志,2007,6:323-324.
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[10]邓凡.特重度烧伤患者血小板变化的临床分析[J].中国医疗器械信息,2015,3:170.
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[12]马俊清,张彬,刘秀茹.输注全血的适应证和弊端[J].包头医学,2002,4:185.
[13]郑庆亦,车梅发,叶国安.小儿重度烧伤休克期输全血的临床观察[J].中华烧伤杂志,1991,1:65.
[14]陈惟杉.在医院输血为何会感染艾滋病病毒[J].中国经济周刊,2015,1:38-41.
[15]汪娟,李维,尹崇珍,等.输血相关性急性肺损伤的病例报告及临床研究进展[J].国际检验医学杂志,2015,12:1768-1770.
[16]张红兵.严重烧伤防治深静脉血栓的研究进展[J].中国城乡企业卫生,2014,1:14-16.
[2]王进勇,张承德,徐向荣.婴幼儿烧伤相关因素分析[J].临床和实验医学杂志,2007,12:67-68.
[3]陈妙婵,蔡葵.重度烧伤患者烧伤初期内环境改变及输血治疗的探讨[J].国际输血及血液学杂志,2015,38(1):18-23.
[4]夏照帆,胡晓燕,王光毅,等.烧伤休克的发病机制和病理生理[J].中华损伤与修复杂志,2007,6:323-324.
[5]赵小丽,张晓萍,郭萍.249例烧伤患者的成分输血分析[J].国际检验医学杂志,2015,8:1059-1060.
[6]罗成,李智.新鲜冰冻血浆在烧伤治疗中的临床应用[J].医学信息,2012,28(7):324-325.
[7]党鑫堂,李岚,伍昌林.血浆冷沉淀在重度烧伤患者中的应用[J].深圳中西医结合杂志,2010,4:244-245.
[8]徐刚,房辉.烧伤后贫血机制的研究进展与临床治疗[J].临床荟萃,1997,21:971-972.
[9]吴彤,王丽凤,曲园园.严重烧伤后并发血小板减少症60例临床分析[J].医学美学美容旬刊,2015,5:747.
[10]邓凡.特重度烧伤患者血小板变化的临床分析[J].中国医疗器械信息,2015,3:170.
[11]安万新,明凤琴.冷沉淀促进烧烫伤创面愈合的实验研究[J].中国输血杂志,1995,2:74-75.
[12]马俊清,张彬,刘秀茹.输注全血的适应证和弊端[J].包头医学,2002,4:185.
[13]郑庆亦,车梅发,叶国安.小儿重度烧伤休克期输全血的临床观察[J].中华烧伤杂志,1991,1:65.
[14]陈惟杉.在医院输血为何会感染艾滋病病毒[J].中国经济周刊,2015,1:38-41.
[15]汪娟,李维,尹崇珍,等.输血相关性急性肺损伤的病例报告及临床研究进展[J].国际检验医学杂志,2015,12:1768-1770.
[16]张红兵.严重烧伤防治深静脉血栓的研究进展[J].中国城乡企业卫生,2014,1:14-16.