3例产妇血红蛋白检测结果与临床出血量“不符”的案例分析

The Case Analysis of 3 Cases of Maternal Hemoglobin Test Results and Clinical Bleeding Volume "Does Not Match"

目的分析3例产妇血红蛋白检测结果与临床出血量"不符"的情况,并提出合理有效的解决措施。方法收集我院收治的3例产妇血红蛋白检测结果与临床出血量不符的产妇,收集其血红蛋白检测结果和临床出血量不符的相关原因,并制定出合理有效的解决措施。结果导致血红蛋白检测结果和出血量不符的原因主要有4点,即(1)生理因素;(2)用药因素;(3)出血量评估偏高;(4)可能出现血液浓缩现象。结论针对产妇血红蛋白检测结果和临床出血量不符的相关因素,需针对其实施有效处理,并避免无法准确评估临床出血量的情况,改善治疗效果和安全性。

Objective To analyze the situation of the difference between the hemoglobin test results and clinical bleeding in 3 cases, and to propose reasonable and effective solutions. Methods 3 maternal women whose hospital hemoglobin test results were inconsistent with the amount of clinical bleeding were collected. The related causes of the discrepancy between the hemoglobin test results and the clinical blood loss were collected and a reasonable and effective solution was developed. Results There are four main reasons that lead to the discrepancy between the hemoglobin test result and the amount of hemorrhage, namely： （1） Physiological factors; （2） Medication factorss; （3） High blood loss assessments; （4） Blood concentration may occur. Conclusion According to the relevant factors of maternal hemoglobin test results and clinical bleeding inconsistencies, it is necessary to implement effective treatment, and can not accurately assess the situation of clinical bleeding, improve treatment efficacy and safety.