摘要
目的评估各类脊柱手术围手术期用血情况,以了解本院血液保护工作取得的临床成效及存在的问题。方法收集1996年1月1日—2005年12月31日本院骨科1166名围术期曾输血的脊柱手术患者血库原始资料,分析采取血液保护措施后,不同手术种类与临床用血的变化趋势。结果10年来红细胞输注量随手术量的增加递增,但患者的平均输注量逐年降低,以术中减少为主;红细胞输注量的手术种类以脊柱肿瘤手术为主;新鲜冰冻血浆用量自2004年迅速增加,且以术中增加幅度最明显。结论血液保护工作对控制脊柱手术患者术中红细胞的输注量有一定的成效,但新鲜冰冻血浆用量的急剧增加是临床合理使用还是有滥用情况,尚需要进一步的调查研究证实。
Objective To investigate the perioperative RBC and FFP transfusion of 1 166 patients with spine surgery, in order to evaluate the effect of blood conservation and the existing problem. Method The transfusion records of 1 166 patients with spine surgery, from January 1, 1996 to December 31, 2005, were retrospectively analyzed. The relationship between the variation of clinical blood transfusion and the operation type were analyzed. Result From 1996 to 2005, although the overall RBC transfusion increased with the increasing numbers of surgery, the amount of transfusion decreased in single patients, with predominant decrease in the amount of intraoperative transfusion. Large amount of blood was transfused to patients with spinal tumor surgery. The use of FFP increased rapidly since 2004, with predominant increase in the amount of intraoperative transfusion. Conclusion The practice of blood conservation is effective in the control of amount of RBC transfusion during perioperative period. Further study is needed to find out the reasons for rapid increase in plasma transfusion.
出处
《中国输血杂志》
CAS
CSCD
北大核心
2009年第1期26-28,共3页
Chinese Journal of Blood Transfusion
基金
卫生部部属(管)医院临床学科重点项目(卫规财函2007353号)
关键词
脊柱手术
围术期
临床用血
血液保护
Spine operation
Perioperative
Blood transfusion
Blood conservation
