• 中国科学论文统计源期刊
  • 中国科技核心期刊
  • 美国化学文摘(CA)来源期刊
  • 日本科学技术振兴机构数据库(JST)

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (4): 350-353.DOI: 10.3969/j.issn.1671-2587.2016.04.015

• 临床输血研究 • 上一篇    下一篇

骨科手术单病种临床用血浅析

梁静, 文军, 刘雯   

  1. 830002 新疆医科大学第六附属医院(梁静,刘雯); 新疆维吾尔自治区人民医院(文军)
  • 收稿日期:2016-02-20 出版日期:2016-08-20 发布日期:2016-08-26
  • 通讯作者: 文军(1961-),男,副主任技师,(E-mail)418216181@qq.com。
  • 作者简介:梁静(1970-),女,安徽萧县人,副主任医师,学士,主要从事输血相容性实验研究和临床输血管理工作,(Tel)13899930617。

An Analysis on Clinical Blood Usage in Orthopedics Surgery of Single Diseases LIANG Jing, WEN Jun,LIU Wen. The Sixth Affoliated Hospital of Xinjiang Medical University 830002

  • Received:2016-02-20 Online:2016-08-20 Published:2016-08-26

摘要: 目的采用回顾性方法分析本院骨科单病种手术近3年临床用血量及各成分变化特征,为提升骨科单病种临床用血及手术水平提供依据。方法收集2013年1月至2015年12月我院骨科手术用血各成分用血量、单病种手术例数、手术用血量等,比较3年骨科单病种用血的变化特征,为指导骨科单病种手术用血寻找依据。结果膝关节表面置换术(470/3 533)平均用血量2.6 U,血浆152.1 ml;股骨头置换术(231/3 533)平均用血量2.3 U,血浆170.6 ml;髋关节置换术(326/3 533)平均用血量2.6 U,血浆158.5 ml;四肢骨干及腰椎切开复位内固定术(2 168/3 533)平均用血量2.7 U,血浆144.8 ml;后路减压置骨内固定术(338/3 533)平均用血量2.5 U,血浆95.4 ml;单病种手术用血情况与术前评估、手术方法的选择,血液保护技术的开展及止血带、止血药物的应用密切相关。结论对骨科单病种手术用血的分析有利于提高我院临床用血水平。

关键词: 骨科手术, 单病种, 临床输血

Abstract: Objective By adopting the method of retrospective analysis to find out the clinical blood using level, composition with variation characteristics in our orthopedics surgeries in the recent3years of single diseases, in order to promote the level of orthopedics surgery of single disease, to provide basis for further research on clinical, surgical blood transfusion in this field. Methods We collected our hospital orthopedic surgeries from January2015to December2013with each component of the blood volume, single disease cases number, surgical blood loss, then made comparison with3years orthopedic disease with the variation characteristics of blood, searching for single disease guidance of orthopedic surgery blood transfusion. Results The average amount of blood, plasma in knee replacement surgery, femoral head replacement surgery, hip joint replacement, limb skeleton, lumbar open reduction, internal fixation, posterior decompression device with internal fixationwere2.6U/152.1ml, 2.3U/170.6ml, 2.6U/158.5ml, 2.7U/144.8ml, 2.5U/95.4ml. The blood using level is closely related with blood, preoperative evaluation, operative method, application of blood conservation techniques to carry out, tourniquet, hemostatic drugs. Conclusion The orthopedic surgery of single diseases of blood analysis is helpful to improve the level of clinical blood usage in our hospital

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