血栓彈力圖指導(dǎo)和大量輸血方案在圍手術(shù)期大量輸血中的應(yīng)用

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中圖分類號(hào):R457.1 文獻(xiàn)標(biāo)識(shí)碼:A文章編號(hào):1006-1959(2025)12-0108-05
DOI:10.3969/j.issn.1006-1959.2025.12.022
Application of Thrombelastogram Guidanceand Massive Blood Transfusion Scheme inPerioperativeMassiveBloodTransfusion
ZHANG Renxiu, ZHANG Zihui, LI Yun,ZHAO Yandong,XIAO Mingliang,LYU Zhiying (DepartmentofloodTransfusion,XingguoountyPeople'sHospital,Xingguo3424o,Jiangxi,Cia)
Abstract:ObectieTploreteplcatioftofthobeastodaedasselodasfusioeiriopeatiasie blodtransfusioetsAotalof58atsodetscaltndtatedossfoovebl 2024inXingoutyeoplesospitalreeletedteachetsAccodingtoedthongetodteyeredite referencegroupandthestudygoup,with9patientsineachgroup.Thereferencegroupdeterminedtheblodtransfusionplanbasedonthe conventionalbloodtransfusionconsensusandtestudygoupimplementedalargenumberofbloodtransfusionplansasedontheuidanceof thromboelastogaefchotoflodpuctseesislateletsfreshrozlasmakotepleedsio cryoprecipiatdlaticors),ateaterot thromboplastinn),bdtelastaGstlatioi)otioate(le) overallcoagade(Ciotgth(Aotsabilt(dEL)oaredeteeooupsls amountofpisaodspopiaolo than that in thereference group( P< 0.05).Afterbloodtransfusion,PT,TTandAPTTinthestudygroupwereshorterthanthoseinthereferencegroup, while FIB was higher than that in the reference group( P<0.05 ,but there was no significant difference in PLTbetween thetwo groupsafter blood transfusion( P>0.05 ).Therebleeding rate of the study group was 3.45% ,and the rebleeding rate of the reference group was 17.24% ,thusthe rebleeding rate of the study group was lower than that of the reference group ( χ2 =5.681,P=O.O16).Afterblood transfusion,R,K,LY3O and EPL in the studygroupwerelowerthanthoseinthereferencegroup,whileAngle,MAandCIwerehigherthanthoseinthereferencegroup( P <0.05). ConclusionTelaotofelastodedmsselootrasuseioperaiesseodtasusiis definite,ichdeoefchmpotoflooductoteproetflatiofctioesofsd reduce the rate ofrebleeding.It is worthy of clinical application.
Keywords:Thrombelastogram;Mass transfusion programme;Perioperative period
輸血在臨床上屬于常見的治療與搶救方法,其能夠通過靜脈將血液輸注到患者體內(nèi),進(jìn)而保證患者健康安全。(剩余5850字)