摘要
目的探讨应用双管双输在上消化道大出血患者急救中的效果。方法选取2015年3月至2017年3月本院消化内科收治的86例上消化道大出血急救患者,采用随机数字表法分为研究组和对照组,各43例。所有患者输血前血红蛋白均为60~70 g/L。研究组采用双管输血,对照组采用单针进行输血。比较两组输血过程中患者的呼吸、体温、脉搏、血压变化,输血不良反应发生率,输血后24 h的死亡率,白细胞计数(WBC)、红细胞计数(RBC)、血红蛋白(Hb)、红细胞压积(Hct)、血小板计数(PLT)、C反应蛋白(CRP)及钾离子(K^(+))、钠离子(Na^(+))、氯离子(Cl^(-))、钙离子(Ca^(2+))的变化情况。结果两组输血过程中的呼吸、体温、脉搏、血压、输血不良反应发生率比较差异均无统计学意义;输血后24 h,研究组死亡率低于对照组,差异无统计学意义;研究组RBC、Hb高于对照组(P<0.05),两组WBC、PLT和CRP比较差异无统计学意义;两组K^(+)、Na^(+)、Cl^(-)、Ca^(2+)比较差异无统计学意义。结论上消化道大出血患者使用双管双输有助于提升血红蛋白水平,输血效果较好,有利于改善患者预后,值得临床推广。
Objective To investigate the effect of double tube and double transfusion in the first aid of patients with upper gastrointestinal hemorrhage.Methods 86 patients with upper gastrointestinal hemorrhage treated by the Department of Digestive Medicine from March 2015 to March2017 were selected and they were divided into the research group and the control group according to random number table method,with 43 cases in each group.All patients checked hemoglobin at 60-70 g/L before transfusion.The research group used double-tube blood transfusion and the control group used single needle for blood transfusion.The changes of respiration,body temperature,pulse and blood pressure,the incidence of adverse reactions,and the death rate at 24 h after transfusion,the changes of white blood cell count(WBC),red blood cell count(RBC),hemoglobin(Hb),hematocrit(Hct),platelet count(PLT),C-reactive protein(CRP)and potassium(K^(+)),sodium(Na^(+)),chloride(Cl^(-))and calcium(Ca^(2+))were compared between the two groups.Results There was no difference in respiratory,body temperature,pulse、blood pressure and transfusion adverse reactions between the two groups.The deaths rate in 24 hours after transfusion in the research group was lower than that in the control group,but the difference was not significant;RBC and Hb in the research group were higher than those in the control group(P<0.05),there was no significant difference in WBC,PLT and CRP between the two groups;there was no significant difference in K^(+),Na^(+),Cl^(-)and Ca^(2+)between the two groups.Conclusion The use of double tube and double transfusion in patients with massive upper gastrointestinal bleeding is helpful to improve the hemoglobin level,the transfusion effect is good,and is conducive to improving the prognosis of patients,which is worthy of clinical promotion.
作者
王俊
向健
朱卫芳
田文武
WANG Jun;XIANG Jian;ZHU Weifang;TIAN Wenwu(Department of Laboratory,Tianmen First People's Hospital,Tianmen,Hubei,431700,China;Department of Blood Transfusion,Tianmen First People's Hospital,Tianmen,Hubei,431700,China;Department of Digestive Medicine,Tianmen First People's Hospital,Tianmen,Hubei,431700,China;Department of Blood Transfusion,Affiliated Renhe Hospital of China Three Gorges University,Yichang,Hubei,443001,China)
出处
《当代医学》
2021年第27期80-82,共3页
Contemporary Medicine
基金
湖北省卫生健康委员会联合基金项目(WJ2019H549)
关键词
上消化道大出血
双管双输
效果观察
Bleeding
Upper gastrointestinal tract
Double tube double lose
Effect observation
