本文關(guān)鍵詞： 膝關(guān)節(jié)手術(shù) 輸血 合理用血 自體輸血　出處：《中國輸血雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的了解本院骨科膝關(guān)節(jié)手術(shù)用血情況,為臨床合理用血提供依據(jù)。方法回顧性分析2015年上半年在本院行膝關(guān)節(jié)手術(shù)接受輸血的181例患者的臨床資料。分析成分血及自體血使用情況,及對輸血相關(guān)因素如性別、血型、年齡、凝血指標(biāo)和住院天數(shù)等進行統(tǒng)計學(xué)分析。結(jié)果 181例患者女性較多為141例,AB型患者最少,不同性別和血型與平均輸血量比較,差異均無統(tǒng)計學(xué)意義(P0.05)。平均輸血量與手術(shù)類型和年齡有顯著相關(guān)性(P0.05),雙膝置換較單膝手術(shù)用血量大,50-70歲年齡段平均輸血量最大。備自體血患者輸血后RBC、Hb和Hct值較輸血前有所下降但均在正常值范圍內(nèi)。未輸血漿患者術(shù)后凝血指標(biāo)均正常,隨著輸血總量的增加,平均住院天數(shù)增多。結(jié)論年齡和手術(shù)類型與平均輸血量有明顯的相關(guān)性,我們應(yīng)嚴(yán)格把握輸血適應(yīng)癥,選擇安全節(jié)約的用血方式。
[Abstract]:Objective to investigate the blood use of knee joint surgery in orthopedic department of our hospital. Methods the clinical data of 181 patients who received blood transfusion during knee joint operation in our hospital in 2015 were analyzed retrospectively. The use of blood components and autologous blood was analyzed. Blood transfusion related factors such as sex, blood type, age, coagulation index and hospitalization days were statistically analyzed. There was no significant difference between gender, blood type and average blood transfusion volume. There was a significant correlation between average blood transfusion volume and operation type and age (P 0.05). The average blood volume of knee replacement was larger than that of single knee operation. The average blood transfusion volume of patients aged 50-70 years was the largest. RBC was obtained in patients with autologous blood transfusion. The HB and Hct values were lower than those before blood transfusion, but were within the normal range. The blood coagulation indexes were normal in the patients without plasma transfusion, and with the increase of the total amount of blood transfusions. Conclusion there is a significant correlation between the age and the type of operation and the average amount of blood transfusion. We should strictly grasp the indication of blood transfusion and choose safe and economical ways of using blood.
【作者單位】： 解放軍總醫(yī)院輸血科;
【分類號】：R687.4;R457.1
【正文快照】： 近年來,隨著醫(yī)療水平的提高及經(jīng)濟能力的提升,膝關(guān)節(jié)置換術(shù)的例數(shù)不斷增加,然而用血量也在快速的上升。隨著輸血技術(shù)的不斷成熟,輸血已經(jīng)成為術(shù)中出血及術(shù)后康復(fù)的一種常用治療方法。然而輸血并非絕對安全,臨床中也會有不合理用血情況,并且近年來血液資源非常緊缺,現(xiàn)對本院181

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