摘要
目的:探讨大剂量输血患者的并发症及相应处理对策。方法:回顾性分析2009年1月-2009年12月我院收治的12例大剂量输血患者临床资料。结果:12例患者并发凝血功能障碍10例;上消化道出血伴皮肤紫斑2例;出现早期DIC 3例,出现典型DIC 1例。本组生存9例,死亡3例。直接死于失血性休克2例,典型DIC 1例死亡。并发代谢性酸中毒4例,低钠低氯1例。结论:大剂量输血可以引起凝血功能障碍,水电解质酸碱平衡紊乱,低体温等并发症。
Objective：To discuss the complications and countermeasures of patients with massive blood transfusion.Methods：Clinical data of 12 patients who had received massive blood transfusion from January to December in 2009 in our hospital were analyzed retrospectively.Results：It was found 10 cases of coagulation disorders,2 caseso f upper gastrointestinal hemorrhage with cutaneous purpura,3 cases of early DIC and 1 case of typical DIC in the 12 patients.9 cases were survived and 3 were dead,in which 2 cases died of hemorrhagic shock and 1 died from typical DIC.4 cases were complicated by metabolic alkalosis and 1 was hyponatremia and hypochloremia.Conclusion：Large dose transfusion can cause dysfunction of coagulation,water electrolyte acid-base balance disorder,low temperature and other complications.
出处
《中国卫生检验杂志》
北大核心
2012年第6期1366-1366,1369,共2页
Chinese Journal of Health Laboratory Technology
关键词
大剂量输血
并发症
处理对策
Large dose transfusion
Complication
Treatment countermeasure
