产科大量输血补液策略

Massive blood transfusion strategy in obstetrics

产后出血始终是危及产妇生命安危的主要原因,故而产科的输血补液策略至关重要。在扩充血容量及维持渗透压后,提高血液携氧能力及改善止血功能是大量输血的目的。产科大量输血策略提倡限制性液体复苏,及时补充红细胞,早期足量使用血浆,预防性输注血小板,补充纤维蛋白原及冷沉淀,一些止血药物也可作为备用策略使用。注意预防大量输血相关并发症。

Postpartum hemorrhage is always the major cause for patients with massive blood loss which endangered the lives of pregnant women. Massive transfusion may save their lives. The purposes of massive blood transfusion are adding the oxygen carrying capacity and hemostatic function of blood after volume expansion. Massive blood transfusion strategy advocates a limited fluid resuscitation,to use red blood cells in time,to use plasma early and adequate,to infuse platelets prophylactic,to supply fibrogen and cryoprecipitate. Drugs also can be used as an alternate strategy to stop bleeding. Pay attention to the complications of massive blood transfusion.