摘要
目的探讨围手术期患者高需求用血的相关因素,为临床合理用血提供指导依据。方法选择2010年2月1日-2013年2月1日新疆医科大学第六附属医院各科手术患者围手术期输血患者736例的原始资料,分析高需求用血(输血量≥1 000mL)的49例患者需血相关因素,包括术前、术中及术后并发症观察,分析高需求用血患者需血原因。结果总的大量输血的发生率为6.66%(49/736),49例高需求患者失血量为(267.68±104.52)mL,远大于同类手术普通失血患者失血量[(235.32±57.85)mL]。结论围手术期患者高需求输血的主要原因为:术前贫血、术中大量出血、术后并发症出血,也与较长的手术时间、病因或手术部位等多因素相关。医生应该提高手术技能、缩短手术时间、加强术中和术后管理,以避免大量缺血。
Objective To explore the relevant factors of high blood demand at the peri-operative period and provide guidance for clinical appropriate use of blood .Methods A total of 736 patients w ho received peri-operative blood transfusion from February 1 ,2010 to February 1 ,2013 in the Sixth Affiliated Hospital of Xinjiang Medical University were included in this study ,the relevant factors of 49 patients who had more than 1 000 mL blood transfusion were investigated ,including observation of preoperative ,intraoperative and postoperative complications and the cause of high blood demand .Results The overall incidence of massive transfusion was 6 .7% （49/736） ,the blood loss volume of 49 patients with high blood demand was （267 .68 ± 104 .52） mL ,which was higher than the control （235 .32 ± 57 .85） mL .Conclusion The main factors of high blood demand are preoperative anemia ,intraoperative bleeding and postoperative complica-tions .It is also associated with longer operative time ,cause of disease or the surgical site et al .Improved surgical skills ,shorter operative time and strengthening intraoperative and postoperative management are effective methods to avoid ischemia .
出处
《新疆医科大学学报》
CAS
2013年第9期1354-1356,共3页
Journal of Xinjiang Medical University
关键词
围手术期
高需求用血
输血
相关因素
并发症
peri-operative period
high blood demand
blood transfusion
related factors
complications
