德阳地区320例输血地震伤员的特点分析
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摘要
目的研究德阳地区地震伤员的输血特点及规律,更好地指导突发事件时的临床用血和储血备血。方法用Excel分析德阳地区5月12日至6月11日320例输血伤员的临床资料和输血记录。结果320例输血地震伤员中男149例,女171例。血液总用量1 442 U,A型占34.5%,B型占16.6%,O型占38.9%,AB型占10.0%。全血64 U,悬液1 000 U,血浆378 U,成分输血率为95.6%。输血患者主要以中老年为主,年龄大于60岁者95例,用血量为427 U,占29.6%。输血高峰集中在5月13日。以红细胞悬液和血浆用量最大。骨折、外伤用血最多。结论地震等大型灾难时,采供血机构要掌握各地血型分布的不同特点及一线医院和后方医院伤员情况和用血情况的差异,分清各个时期用血量的变化,合理储备充足的血液制品。既要保证用量又要避免浪费。临床医生应针对各种不同疾病科学、合理、有效地用血。
Objective To analyse the blood transfusion features and regularity on the earthquake victims in Deyang area for providing better guidance to blood storage and clinical use.Methods To use Excel to analyse the clinical data and blood transfusion records of the 320 earthquake victims in Deyang area during May 12 and June11,2008.Results There were 149 men and 171 women in the 320 blood transfusion injured persons.The total used amount of blood was 1 442 U,the percentages of each blood type were as follows:type A 34.5%,type B 16.6%,type O 38.9%,type AB 10.0%.The used amount of whole blood was 64 U,red blood cells was 1 000 U,plasma 378 U.The rate of components blood transfusion was 95.56%.Blood transfusion patients were mainly middle-aged people,there were 95 people more than 60 years old,they used blood 427 U,accounting for 29.6%.The peak of blood transfusion was on May 13.The largest use of blood components was red blood cells and plasma.Fracture and trauma wounded had the largest amount in the blood transfusion.Conclusion Blood collection and supply agencies should find out the blood transfusion features and regularity of the front-line hospital in large-scale natural disasters in order to ensure sufficient storage and avoid wastage meanwhile.Clinicians should be familiar with the indications of blood transfusion and use every blood components scientifically,reasonably and effectively.
Objective To analyse the blood transfusion features and regularity on the earthquake victims in Deyang area for providing better guidance to blood storage and clinical use.Methods To use Excel to analyse the clinical data and blood transfusion records of the 320 earthquake victims in Deyang area during May 12 and June11,2008.Results There were 149 men and 171 women in the 320 blood transfusion injured persons.The total used amount of blood was 1 442 U,the percentages of each blood type were as follows:type A 34.5%,type B 16.6%,type O 38.9%,type AB 10.0%.The used amount of whole blood was 64 U,red blood cells was 1 000 U,plasma 378 U.The rate of components blood transfusion was 95.56%.Blood transfusion patients were mainly middle-aged people,there were 95 people more than 60 years old,they used blood 427 U,accounting for 29.6%.The peak of blood transfusion was on May 13.The largest use of blood components was red blood cells and plasma.Fracture and trauma wounded had the largest amount in the blood transfusion.Conclusion Blood collection and supply agencies should find out the blood transfusion features and regularity of the front-line hospital in large-scale natural disasters in order to ensure sufficient storage and avoid wastage meanwhile.Clinicians should be familiar with the indications of blood transfusion and use every blood components scientifically,reasonably and effectively.
引文
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[2]刘利明,陈蓉.成分输血不合理现象浅析[J].中国输血杂志,2006,19(6):486-487.
[3]徐文皓.创伤患者大量输血的研究进展[J].中国输血杂志,2007,20(6):144-146.
[4]郑剑桥.225例地震伤外科手术用血调查[J].中国输血杂志,2008,21(8):583-585.
[5]李翠莹.特大地震致严重挤压综合征8例的输血疗效分析[J].中国输血杂志,2008,21(8):591-593.
[6]肖洁.1 109例地震住院伤员的临床用血分析[J].中国输血杂志,2008,21(8):612-613.
[7]徐家相.地震灾害的紧急医疗救援[J].中华急诊医学杂志,2005,14(7):557-558.
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