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成分输血的临床应用(Clinical application of component transfusion)
成分输血的临床应用(Clinical application of component transfusion)
Clinical application of component transfusion
Http:// release time: 2009-7-21 16:13:47 source: physicians column
Because of the development of component transfusions, various components have their own conditioning, such as concentrated red cells, crystals, salt stores, or colloidal Red Cell Storaging Solution. Cryopreservation is also possible. The most appropriate preservation temperature of platelets is 22 degrees Celsius (Shi Wen).
Three 、 whole blood transfusion
Whole blood refers to all the components of the blood, including various blood cells and plasma components, as well as anticoagulants and retention fluids. The whole blood has the preservation of whole blood and fresh blood, which is commonly used to preserve the whole blood of 4 + 2 degrees celsius. It is difficult to define the fresh blood of unified regulations, according to the purpose of the blood transfusion set, in order to supplement fresh red blood cells, blood can be kept for 5 days CPD ACD whole blood or 10 days; at the same time as the supplement of platelets or leukocytes, it should be kept for 1 days and were used within 12 hours of blood. It can solve the problem of component blood transfusion.
The blood is mainly containing the oxygen carrying capacity of red blood cells and maintain the osmotic pressure of the albumin, can be applied to a variety of reasons: (surgery, trauma) caused by acute massive bleeding, need to add red blood cells and blood volume; the need for extracorporeal circulation during the operation; the change of blood, especially the hemolytic disease of the newborn patients need exchange transfusion.
Whole blood transfusion also has disadvantages, such as platelets and white blood cells containing blood caused by antibodies, can cause blood transfusion in melon again; the blood capacity of normal people, especially the elderly or children, easily cause circulatory overload problem. Therefore, the transfusion of wh
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