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目的:回顾性分析妇科患者围术期输血状况与转归情况。方法:随机抽取1 000例该院2006~2009年围术期输血患者,从中筛选出妇科患者222例,分析用血状况与转归情况。结果:2006~2009年红细胞输注率占72.4%,血浆输注率占23.9%,自体血回输率占41.9%,全血输注率占7.2%,无血浆与红细胞搭配输血情况。成分血和自体血用量比例逐年增加,从94.5%升至99.7%;全血用量逐年减少,从5.5%降至0.4%。患者转归:患者治愈率从75.0%~92.3%逐年增加(P<0.05);除2006年1例死亡(原因为重症外伤、呼吸衰竭,与输血无关)外(占4.8%),其余患者均好转或治愈出院。结论:该院近年来妇科患者围术期成分输血与自体血回输比例增加,用血趋于合理;未发现输血患者治愈、好转率受到影响,也未见增加死亡率。
Objective: To retrospectively analyze the perioperative blood transfusion status and outcome of gynecological patients. Methods: A total of 1 000 cases of perioperative blood transfusion from 2006 to 2009 in our hospital were randomly selected, and 222 cases of gynecological patients were screened out. The blood status and outcome were analyzed. Results: From 2006 to 2009, the rate of erythrocyte infusion was 72.4%, the rate of plasma infusion was 23.9%, the rate of autologous blood transfusion was 41.9%, and the rate of whole blood transfusion was 7.2%. There was no plasma or erythrocyte with blood transfusion. The proportion of constituent blood and autologous blood increased year by year, from 94.5% to 99.7%. The amount of whole blood decreased from 5.5% to 0.4%. Patient outcome: The cure rate of patients increased year by year from 75.0% to 92.3% (P <0.05). Except for one death in 2006 (due to severe trauma, respiratory failure, and blood transfusions) (4.8%), the remaining patients Improve or cure discharged. Conclusion: The hospital gynecological patients in recent years, perioperative blood transfusions and autologous blood transfusion increased the proportion of the blood tends to be reasonable; did not find blood transfusion cured, the improvement rate affected, but also did not increase the mortality rate.