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[1]韩洪祯.术中限制性输血与开放性输血的临床对比[J].医学研究与战创伤救治(原医学研究生学报),2016,18(01):54-55,72.[doi:10.3969/j.issn.1672-271X.2016.01.016]
　HAN Hong-zhen..Clinical comparison of limited blood transfusion and open blood transfusion during operation[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(01):54-55,72.[doi:10.3969/j.issn.1672-271X.2016.01.016]
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术中限制性输血与开放性输血的临床对比()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年01期
页码:
54-55,72
栏目:
出版日期:
2016-01-20

文章信息/Info

Title:
Clinical comparison of limited blood transfusion and open blood transfusion during operation
作者:
韩洪祯
100730 北京，首都医科大学附属北京同仁医院输血科
Author(s):
HAN Hong-zhen.
Blood Transfusion Department of Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
关键词:
开放性输血; 限制性输血; 不良反应
Keywords:
open blood transfusion;  limited blood transfusion;  adverse drug reactions
分类号:
R457.1
DOI:
10.3969/j.issn.1672-271X.2016.01.016
文献标志码:
A
摘要:
目的 探讨术中限制性输血与开放性输血的临床效果。方法 对医院自2014年7月-2015年5月期间收治，出血量>400 mL的大、中型手术的104例输血患者进行回顾性 分析。2014年7-12月期间符合入选标准的患者51例为对照组,实施开放性输血。2015年1-5月期间符合标准的患者53例为观察组，实施限制性输血。对比两组患者的输血量和不良反 应发生率。结果 观察组不良反应发生率为3.77%，输血总量和人均输血量分别为1014.63个单位红细胞和（2.09±1.05）个单位红细胞；对照组不良反应发生率为15.69%，输血总 量和人均输血量分别为1534.43个单位红细胞和（3.14±1.47）个单位红细胞；两组患者不良反应发生率、输血总量和人均输血量的组间比较,差异均具有统计学意义（均P＜0.05） 。结论 与开放性输血相比，行手术输血治疗的患者采取限制性输血，不仅能明显节省血液资源，还可降低其输血不良反应发生率，值得在临床上推广使用。
Abstract:
Objective To investigate the clinical effect of intraoperative restrictive transfusion and open blood transfusion. Methods A retrospective analysis of 104 patients with large and medium-sized blood transfusion in the hospital from July 2014 to May 2015 was performed. From July 2014 to December 2014, 51 patients were selected as control group and the open blood transfusion was carried out. From January 2015 to May 2015, 53 patients were selected as the observation group, and limited blood transfusion was carried out. The blood transfusion and incidence of adverse reactions were compared between the two groups. Results The incidence of adverse reactions in the observation group was 3.77%. The total blood transfusion and per blood transfusion volume were 1014.63 U and (2.09 ±1.05)U respectively. The incidence of adverse reactions in the control group was 15.69%. The total blood transfusion and per blood transfusion volume was 1534.43 U and (3.14±1.47)U respectively. Conclusion Compared with open blood transfusion, restrictive blood transfusion can not only save blood resource, but also reduce the incidence of adverse reactions, which is worthy of promotion in clinical use.

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更新日期/Last Update: 2016-01-20