41名地震伤员的输血治疗观察
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摘要
目的分析救治汶川大地震伤员的输血疗效。方法观察41名地震伤员的输血治疗情况,检测伤员输血前后的血常规、电解质、凝血功能等实验室指标。结果41名地震伤员输全血和/或红细胞悬液400—6400ml,平均输血量1233ml,血浆200—9600ml,平均输血浆1550ml。无输血不良反应发生,输血前后伤员RBC、Hct明显升高,电解质无明显变化,血钾水平稍有下降(4.64±0.67)mmol/L vs 4.06±0.30mmol/L,P>0.05)。结论输血治疗是地震伤员的重要救治手段。
Objective To observe the clinical effect of blood transfusion on earthquake victims from Wenchuan earthquake area, Sichuan province.Methods The blood routine, electrolyte and coagulation function of earthquake victims were detected.Results A total of 41(27.5%) victims received blood transfusion. The average volume of blood transfusion was 1 233 ml, and the average volume of plasma was 1 550 ml. No patient was found to have adverse transfusion reaction. There was no significant difference between the electrolytes before and after the transfusion.Conclusion Blood transfusion is important in the care of earthquake victims.
Objective To observe the clinical effect of blood transfusion on earthquake victims from Wenchuan earthquake area, Sichuan province.Methods The blood routine, electrolyte and coagulation function of earthquake victims were detected.Results A total of 41(27.5%) victims received blood transfusion. The average volume of blood transfusion was 1 233 ml, and the average volume of plasma was 1 550 ml. No patient was found to have adverse transfusion reaction. There was no significant difference between the electrolytes before and after the transfusion.Conclusion Blood transfusion is important in the care of earthquake victims.
引文
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[2]Como JJ,Dutton RP,Scalea TM,et al.Blood transfusion use rates in the care of acute trauma[J].Transfusion,2004,6(44):809—813
[3]Nishiyama T,Hayashi D.Electrostatic field can preserve red blood cells in stored blood preparations[J].J Anesth,2007,21(1):42—46
[4]陶和,张少华,石寅浩.8例大量输血后的酸碱状态与血钾改变[J].临床麻醉学杂志,1996,12(6):314—316
[5]邓兰芹,翟慧,胡晓玲.手术期间大量输血后的血钾和酸碱平衡的变化[J].中华护理学杂志,2000,17(8)586—588
[6]曹丽春,王燕,李咏梅,等.手术大量输血后的血清电解质变化[J].第四军医大学吉林军医学院学报,2003,25(1):39—40
[7]Kauvar S,Holcomb B,Norris C,et al.Fresh whole blood transfu-sion:a controversial militry practice[J].J Trauma,2006,61(1):181—184
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