输注不同比例的血浆、冷沉淀、红细胞对大量输血患者凝血功能的影响.docVIP

精品论文 参考文献 输注不同比例的血浆、冷沉淀、红细胞对大量输血患者凝血功能的影响 王玉翠 　　（河南洛阳石化医院检验科 河南 洛阳 471012） 　　【摘 要】目的：分析输注不同比例的血浆、冷沉淀、红细胞对大量输血患者凝血功能的影响；方法：选择我院2013年1月至2015年1月收治的需要大量输血的患者90例，根据入院24小时内输注血浆、冷沉淀、红细胞比例分成低比例（血浆/冷沉淀/红细胞＜1:1:1）、中比例（血浆/冷沉淀/红细胞=1:1:1）、高比例（血浆/冷沉淀/红细胞＞1:1:1）各30例；结果：输血24小时后3组患者的FIB显著低于输血前；低比例组输血24小时后FIB显著低于其余两组患者，PT、APTT和TT则显著高于其余两组患者，比较差异有统计学意义（P＞0.05）。低比例组和中比例组患者输血24小时后PLT显著低于治疗前，中比例组和高比例组患者输血24小时后PLT显著高于低比例组患者，比较差异有统计学意义（P＞0.05）。结论：大量输血时，应根据血浆/冷沉淀/红细胞ge;1:1:1的输注比例进行输血，从而让凝血功能障碍发生率降低。 　　【关键词】不同比例；血浆；冷沉淀；红细胞；大量输血；凝血功能；影响 　　【中图分类号】R554+.2 【文献标识码】B 【文章编号】1003-5028（2015）8-0824-02 　　 　　【Abstract】Objective: to analyze different proportions of plasma, cryoprecipitate infusion, red blood cells, blood coagulation function in patients with a large number of blood transfusion; Methods: our hospital between January 2013 and January 2015 needs a large number of blood transfusion in our hospital 90 cases of patients, according to the hospital infusion cold plasma, precipitation in 24 hours, the proportions of the red blood cells were divided into low plasma/cold precipitation/red blood cells (lt; :), the ratio of plasma/cold precipitation/red blood cells (= :), high plasma/cold precipitation/red blood cells (gt; :) each 30 cases; Results: the blood transfusion three group of patients after 24 hours of FIB was significantly lower than before blood transfusion; Low proportion of group of 24 hours after blood transfusion FIB was significantly lower than the rest of the two groups of patients, PT, APTT and TT were significantly higher than that of the rest of the two groups of patients, compare the difference was statistically significant (P gt; 0.05). Low rate group and the group of patients with blood transfusion PLT significantly less than 24 hours before the treatment, blood transfusion group and the high rate among patients after 24 hours PLT group is significantly higher than low proportion, compare the difference was statistically significant (P gt; 0.05). Conclusion: a large