32例临床大量输血情况回顾分析

目的:探讨大量用血患者中合理科学用血来节约血液资源。方法:利用发血记录本和军字一号网络信息中心及用血申请单和病例资料,查阅2011-01-2013-05大量输血(红细胞8U)患者32例,分析探讨合理用血情况。结果:32例患者中24例使用血浆,3例使用全血,成分输血观念欠缺。5例使用冷沉淀,2例使用血小板,32例无术前自体回输血的使用。结论:血浆使用于扩容比较多,红细胞和血浆的使用比例不合理,全血使用率还是占一定比例,成分输血观念以及自体回输有待加强。

Retrospective analysis of 32 cases of clinical blood transfusion

Objective：To explore the science reasonable use to save the blood in patients with a large number of blood resources. Method：To use blood book and No 1 military network information center, and use apps and case information, consult 32 cases with massive blood transfusion （RBC 〉 8 U） between January 2011 and May 2011, investigate the reasonable use. Result： Of 32 cases, 24 cases used plasma and 3 cases used whole blood, suggesting lacking of component blood transfusion concept. Five cases used cold precipitation, 2 cases used platelets, and 32 cases without the use of preoperative autologous blood transfusion. Conclusion： Using plasma to expand volume was common, the use of red blood cells and plasma proportion was unreasonable and whole blood utilization rate still occupied a certain proportion, suggesting it remains to be strengthened of the concept of component blood transfu- sion and autologous blood transfusion.