【摘要】 目的 分析输血在产科患者中的应用。方法 利用HIS系统,查阅陕西省人民医院2011~2015年产科输血患者病例;了解患者的入院状态、年龄、疾病,回顾分析产科患者的输血率,Rh(D)阴性患者输血情况,成分输血,大量输血。结果2011~2015年,产科住院患者26 574人,其中输血者1 111人,输血率为4.2%;输血患者全部治愈或好转出院,其中Rh(D)阴性输血患者27例;成分输血率为98.8%,以悬浮红细胞、血浆、血小板输注为主;悬浮红细胞输注量≥10U者69例,以产后出血,妊娠并发贫血、高血压等内科疾病的患者为主,占输血总人数的6.2%;其中悬浮红细胞输注量≥18U者14例,占输血总人数的1.3%;红细胞平均输注量与患者的入院状态、年龄和疾病种类密切相关。结论 输血是救治孕产妇贫血、出血的有效方法。更多还原

【Abstract】 Objective To analyze the application of blood transfusion in obstetric patients.Methods Using HIS system,obstetric transfusion patient cases were consulted in Shaanxi Provincical People’s Hospital from 2011 to 2015.The information of patient’s admission status,age and disease were looked up.Blood transfusion rate,blood transfusion with Rh(D) negative,blood component transfusion,and massive blood transfusion were analyzed retrospectively.Results From 2011 to2015,1 111 obstetric inpatients with blood transfusion were 4.2%accounting for 26 574 obstetric inpatients:Blood transfusion patients were all cured or improved,including 27 cases of blood transfusion with Rh(D) negative.Blood component transfusion rate was 98.8%,mainly on suspension of red blood cells,plasma and platelet.69 cases were transfused red blood cells with more than 10 U,mainly on postpartum hemorrhage,pregnancy complicated with internal diseases such as anemia,high blood pressure patients,accounting for 6.2%of transfusion patients.14 cases were transfused red blood cells with more than 18 U,accounting for 1.3%of transfusion patients.The average volume of red blood cells transfusion was closely related to patients’ admission status,age and disease.Conclusion Blood transfusion is an effective method for treating pregnant anemia and bleeding.更多还原