探讨成分输血在急性失血患者治疗中的应用效果

To investigate the effect of component blood transfusion in the treatment of patients withacute blood loss

目的:探讨不同比例成分输血(CBT)在急性失血(ABL)患者治疗过程中的应用效果。方法:回顾性分析我院收治的ABL患者在输血前后治疗资料,比较三组输血治疗前后的血常规和凝血功能(CF)指标改善以及输血后不良反应的情况。结果:三组患者输入异体CBT后,其血常规和CF指标明显改善,同输血前相比有差异(P<0.05)。中比例组和高比例组血常规指标高于低比例组,PT和APTT延长时间较低比例组短,FIB高于低比例组,比较有差异(P<0.05)。高比例组血常规和CF指标与中比例组比较,无差异(P>0.05)。低比例组的不良反应发生率高于中、高比例组。结论:CBT是ABL患者治疗过程中有效措施,采用中、高比例CBT进行救治,能使机体有效扩容、快速恢复CF,且不良反应少。

objective:To explore the effect of different proportion component transfusion(CBT)in the treatment of patients with acute blood loss(ABL).Methods:A retrospective analysis was performed on the treatment data of ABL patients admitted to our hospital before and after blood transfusion,and the improvement of blood routine and coagulation function(CF)indexes and adverse reactions after blood transfusion were compared between the three groups.Results:After allogeneic CBT transfusion,the blood routine and CF indexes of the three groups were significantly improved,which were different from those before blood transfusion(P<0.05).The blood routine indexes of the middle proportion group and the high proportion group were higher than those of the low proportion group,the prolongation time of PT and APTT was shorter in the lower proportion group,and the FIB was higher than that in the low proportion group(P<0.05).There was no difference in blood routine and CF indexes between the high-proportion group and the middle-proportion group(P>0.05).The incidence of adverse reactions in the low-proportion group was higher than that in the medium-and high-proportion groups.Conclusion:CBT is an effective measure in the treatment of ABL patients.The treatment of medium and high proportion of CBT can effectively expand the body and quickly recover CF,with few adverse reactions.