成分输血及其适应症(国外英文资料).docVIP

成分输血及其适应症(国外英文资料) Ingredient transfusion and its indications 1 whole blood indications For acute massive blood loss may appear low blood volume shock patients, or persistence of patients with active bleeding, estimated blood loss more than 30% of their blood volume, for example: bleeding, severe trauma, major surgery, change, etc. A large amount of blood loss, when the amount of loss of blood exceeds 30%, it is advisable to use the 4u red cell suspension and then use the whole blood as needed. Full blood is not suitable for the purpose of supplementing blood volume, which may cause the patient to risk an unwanted infection. Crystalline or colloidal fluids can increase blood volume without infection. Blood may not be used in patients with normal blood capacity to correct anemia. These patients only need to increase red blood cells. 3 why is it not all blood? (1) the blood circulates from the circulation and occurs preservation damage; (2) preservation solution is designed for red blood cells, whole blood in 4 ℃. (3) the platelets to save in 22 plus or minus 2 ℃ oscillation condition; (4) granulocytes are short-lived cells that are difficult to preserve; (5) clotting factor Ⅷ and Ⅴ unstable, below 18 ℃ to save; (6) the concentration of the remaining components was low except for red blood cells; (7) all blood was similar to red blood cells, but not much. Why is the idea of missing all blood not correct? (1) the whole blood is lost, and the whole blood is not complete. (2) the volume of acute blood loss decreased, and the interstitial fluid decreased. (3) the acute loss of blood should be fluid rather than blood transfusion. (4) crystalline fluid or using colloidal liquid plus red blood cell infusion is the main transfusion program. (5) the loss of blood should also be injected into platelets, plasma and cold precipitation. (6) patients whose red blood cells have been corrected for their blood capacity have less adverse effects. (7) modern blood transfusion and red bl