大量输血程序在腹部外科创伤性休克患者中的应用价值分析

Analysis on application value of massive transfusion program to patients with abdominal surgical traumatic shock

目的：分析大量输血程序在腹部外科创伤性休克患者中的作用及价值。方法按随机分组原则将2013年1月~2015年1月在我院就诊的146例腹部外科创伤性休克患者分为两组，对照组73例，采用常规输血方案进行处理，观察组73例，采用大量输血程序进行处理，比较两组患者的相关治疗情况。结果两组患者入院时，血常规及凝血功能比较差异无统计学意义（P〉0.05）；经不同方式处理后观察组患者的血常规及凝血功能情况显著改善，且明显优于对照组患者的改善程度（P〈0.05）；两组患者输血量及输血比例比较差异有统计学意义（P〈0.05）；观察组患者死亡率明显低于对照组（P〈0.05）。结论大量输血程序对腹部外科创伤性休克患者进行处理，可显著改善患者凝血功能，临床价值显著，可推广应用。

Objective To analyze the function and value of massive transfusion program to patients with abdominal sur-gical traumatic shock. Methods 146 patients with abdominal surgical traumatic shock treated in our hospital from Jan-uary 2013 to January 2015 were selected and divided into two groups randomly,the control group for 73 cases were treated with conventional transfusion scheme,the observation group for 73 cases were treated with massive transfusion program.The treatment conditions between two groups was compared. Results Two groups of patients on admission,the blood routine and blood coagulation showed no significant difference between two groups（P〉0.05）.After different process modes,the blood routine and blood coagulation function of observation group improved evidently,which was evidently better than that of control group（P〈0.05）.There was no great difference for the volume of blood transfusion and transfu-sion percentage between two groups （P〈0.05 ）.The death rate of observation group was evidently lower than that of con-trol group （P〈0.05）. Conclusion Applying massive transfusion program to patients with abdominal surgical traumatic shock not only can evidently improve the blood coagulation function of patients,but also has evident clinical value, which is worthy of promotion and application.