小肠移植患者围术期成分输血治疗

Perioperative blood component transfusion of small intestine transplantation patients

目的探讨小肠移植围术期的输血策略及其特点。方法回顾性分析10例小肠移植术受者的临床输血资料与检测结果。结果 10例小肠移植术受者围术期输血量RBC平均为16.9 U,FFP平均用量为2 847 m L,未输注血小板及冷沉淀。结论尽管小肠移植围术期血液成分的用量有很大个体差异,但仍属于大量用血。应做好术前、术中及术后的各项检验监测,适时地提供不同品种的血液成分进行输注,降低围术期输血风险。

Objective To characterize and to investigate the strategies for perioperative blood transfusion in patients receiving transplantation of small intestines. Methods A retrospective analysis was conducted on ten cases of recipients of small intestinal transplantation and their clinical blood transfusion and testing data. Results The average volume of perioperative blood transfusion of RBC was 16. 90 U and that of FFP was 2,847 m L in the ten cases of recipients of small intestinal transplantation. No transfusion of platelet and cryoprecipitate was noted. Conclusion Although the transfused amount of different components varied significantly,patients receiving small intestinal transplantation were still subjected to large amounts of blood transfusion. Thus,inspection and surveillance should be implemented in preoperative,intraoperative and postoperative blood transfusions,and different kinds of blood components should be provided for transfusion in a timely fashion in order to reduce the risk of perioperative blood transfusion.