摘要
目的了解某市产科临床成分用血现状和无指征用血原因分析。方法对本市2006年9家医院产科住院患者的输血病例进行回顾性分析。结果查阅输血病例共计400例,接受红细胞(RBC)、血浆、冷沉淀和/或血小板输注(1例患者可能同时输用多种成分)的病例百分比分别为93.3%、35.5%、6.8%和8.0%,各成分血用量分别占总用量的49.5%、25.0%、10.9%和14.6%。合理用血状况的分析显示,各成分输血病例符合指征率分别为64.34%、19.01%、51.85%和81.25%。血浆循证输注的人均用量为23.4 U,而无指征的人均用量仅为2 U。结论产科的临床输血以RBC成分为主,血浆安慰性输注的现象普遍,有待改善。
Objective To survey the status of clinical use of blood components and to analyze the inappropriate reasons in obstetrics in urban area.Methods Four hundred cases who have received transfusion therapies were analyzed through retrospective reviewing medical records of obstetric inpatients from 9 hospitals during 2006 in our city.Results For packed red blood cells(RBC),plasma,cryoprecipitate and/or platelet(one case might have multi-component transfusion during hospitalization),percentages of transfusion therapies respectively reached to 93.3%(373/400),35.5%,6.8% and 0.8% among 400 cases with transfusion records,and usage of the total units accounted for 49.5%(1 697/3 429),25.0%,10.9% and 14.6%.The analysis of appropriate use of blood components showed that 64.34% of RBC,19.01% of plasma,51.85% of cryoprecipitate and 81.25% of platelet were transfused with clinical indications.For plasma with evidence-based transfusion,per case used 23.4 units averagely,but for one without evidence-based only consumed 2 units.Conclusion The transfusion therapies in obstetrics medicine dominantly rely on RBC,but exist a prevailing status of less strict indications in plasma use,which need to be improved in further practice.
出处
《临床输血与检验》
CAS
2011年第3期218-221,共4页
Journal of Clinical Transfusion and Laboratory Medicine
关键词
产科
成分血
输血指征
Obstetrics Blood components Transfusion indication
