大量输血治疗后患者血液检验指标变化特征分析

Analysis on the changes of blood test indexes of patients after massive blood transfusion

目的:观察大量输血治疗后患者血液检验指标的变化特征。方法:2018年6月-2020年6月收治24 h内接受异体输血量(红细胞、血浆)≥自身血容量患者51例,输血前抽取血液标本,输血后以同样的方式获取标本,行血液指标检测,观察结果。结果:输血后钙离子(Ca^(2+))、钾离子(K^(+))水平均低于输血前,差异有统计学意义(P<0.05);输血前后钠离子(Na^(+))、氯离子(Cl^(-))水平比较,差异无统计学意义(P>0.05);输血后部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(FIB)、凝血酶时间(TT)、血小板计数(PLT)与输血前比较,差异有统计学意义(P<0.05)。结论:大量输血后,患者血液检验指标变化较大,明确其变化特征,对并发症防治有较好的效果。

Objective:To observe the changes of blood test indexes of patients after massive blood transfusion.Methods:From June 2018 to June 2020,51 patients who received allogeneic blood transfusion(red blood cell,plasma)≥their own blood volume within 24 hours were selected.Blood samples were taken before blood transfusion,and the blood samples were obtained in the same way after blood transfusion.The blood indexes were detected and the results were observed.Results:The levels of calcium ion(Ca^(2+))and potassium ion(K^(+))after blood transfusion were significantly lower than those before blood transfusion,but there was no significant difference in the levels of sodium ion(Na^(+))and chloride ion(Cl^(-))before and after blood transfusion.partial thromboplastin time(APTT),prothrombin time(PT),fibrinogen(FIB),thrombin time(TT)and platelet count(PLT)after blood transfusion were significantly different from those before transfusion.Conclusion:After a large amount of blood transfusion,the blood test indexes of the patients change greatly,and the characteristics of the changes are clear,which has a good effect on the prevention and treatment of complications.