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临床输血与检验

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (2): 104-106.DOI: 10.3969/j.issn.1671-2587.2016.02.003

• 临床输血研究 • 上一篇    下一篇

某院骨科患者红细胞输注的回顾性分析

梁格为,张婵,张颖,涂源泉   

  1. 650106 云南省昆明市血液中心（梁格为,张颖,涂源泉）; 云南省第一人民医院（张婵）
  • 收稿日期:2015-10-28 出版日期:2016-04-20 发布日期:2016-09-21
  • 通讯作者: 张婵,女,副主任医师,学士,（Tel）13619697064。
  • 作者简介:梁格为（1978-）,男,云南昆明人,主治医师,学士,主要从事输血技术专业工作,（Tel）13187857361（E-mail）13187857361@163.com。

Retrospective Analysis of Red Blood Cell Transfusion in Orthopedic Patients

LIANG Ge-wei, ZHANG Chan, ZHANG Yin, et al   

  1. Yunnan Kunming Blood Center, Kunming, Yunnan, 650106
  • Received:2015-10-28 Online:2016-04-20 Published:2016-09-21

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摘要： 目的回顾性分析某院骨科患者红细胞输注情况,以指导临床合理用血。方法回顾性选择某三甲医院2013~2014 年骨科有红细胞输注的病案98例,将血红蛋白Hb<70 g/L开始输血的41 例设为限制性输血组,Hb<100 g/L开始输血的57 例设为开放性输血组,分析红细胞输注情况。结果限制性输血组输血前Hb低于开放性输血组,差异有统计学意义（P<0.01）,输血后Hb改变值优于开放性输血组,失血量、输血量和住院时长的差异无统计学意义。结论骨科患者红细胞输注可以应用限制性输血策略。

关键词: 骨科, 红细胞, 限制性输血, 开放性输血, 血红蛋白

Abstract: ObjectiveTo guide the clinical rational use of blood by retrospective analysis of red blood cell transfusion in orthopedic patients. MethodsRandom checked 98 medical documents with transfusion record in a third-grade class-A hospital from 2013 to 2014. Restrictive transfusion group was adopted in 41 patients whose concentration of hemoglobin (Hb) was less than 70 g/L before transfusion. Liberal transfusion group was adopted in 57 patients whose Hb was less than 100 g/L. The outcomes were compared afterwards. ResultsAsignificant differences was seen between the two groups with respect to the initial Hb (P <0.01). No significant difference was observed in the volume of blood transfused,the blood lost,and the length of hospital stay. ConclusionRestrictive transfusion strategy could be advocated in orthopedic patients .

Key words: Orthopedic, Red, blood, cell, Restrictive, transfusion, Liberal, transfusion, Haemoglobin

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