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                            1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 急性大出血患者采用血小板和冷沉淀联合输注的效果

                              急性大出血患者采用血小板和冷沉淀联合输注的效果

                              时间:2019-03-16 11:50作者:林晓霞 梁任 钟博智
                              本文导读:这是一篇关于急性大出血患者采用血小板和冷沉淀联合输注的效果的文章,急性大出血指患者短时间内血容量、红细胞快速下降,属于急重症,疾病发展迅速,若不及时治疗可引发失血性休克,危及患者生命安全。

                                摘    要: 棋牌大全下载安装目的:分析急性大出血患者以冷沉淀、血小板联合治疗的有效性。方法:取2016年5月~2018年7月期间125例急性大出血者为研究对象,按数字表法随机分组,A组41例(输入单采血小板)、B组42例(输入冷沉淀)、C组共42例(血小板+冷沉淀),比较凝血指标治疗前后水平变化,组间比较患者24 h止血有效率,统计各组止血时间及血小板、冷沉淀、红细胞输注量情况。结果:输注后C组PT、APTT水平低于其他两组,差异有统计学意义(P<0.05);C组血小板、冷沉淀输注量少,24 h止血有效率高、止血用时短,差异有统计学意义(P<0.05)。结论:对急性大出血者行血小板、冷沉淀联合输注,临床止血效果理想,患者凝血功能得到改善,止血用时短。

                                关键词: 冷沉淀; 疗效; 血小板; 急性大出血;

                                Abstract: Objective To analyze the efficacy of combined treatment of cold precipitation and platelet in acute haemorrhagic patients.Method 125 cases of acute major hemorrhage from May 2016 to July 2018 were taken as subjects and randomly grouped according to the numerical table method.A group had a total of 41 cases(input platelet alone), B group had a total of 42 cases(input cold precipitate), and C group had a total of 42 cases(platelet + cold precipitate).The changes in levels before and after coagulation index treatment were compared.The group compared patients with 24 h hemostatic efficiency.The time of hemostasis, platelet, cold precipitation and erythrocyte infusion were counted.Results After infusion, the level of PT and APTT in Group C was lower than that of the other 2 groups(P<0.05);Group C had less platelet and cold precipitate infusion, high hemostasis efficiency and short hemostasis time(P<0.05).Conclusion The combined transfusion of platelets and cold precipitates in patients with acute major hemorrhage has a good effect on hemostasis, improved coagulation function, and short time for hemostasis.

                                Keyword: Cold precipitation; Curative effect; Platelets; Acute hemorrhage;

                                JIXINGDACHUXUEZHIHUANZHEDUANSHIJIANNEIXUERONGLIANG、HONGXIBAOKUAISUXIAJIANG,SHUYUJIZHONGZHENG,JIBINGFAZHANXUNSU,RUOBUJISHIZHILIAOKEYINFASHIXUEXINGXIUKE,WEIJIHUANZHESHENGMINGANQUAN。LINCHUANGRENWEIJISHISHUXUE、SHUYESHIDACHUXUEZUIWEIYOUXIAODEZHILIAOSHOUDUAN,DANDALIANGSHIJIANBIAOMINGXINGDALIANGSHUXUE,YOUYUXUEYEZHONGBUHANNINGXUEYINZI、XUEXIAOBAN,DAOZHIRENTIWUFAJISHIBUCHONGNINGXUEYINZI、XUEXIAOBANXISHIXUEYE,KENENGDAOZHININGXUEGONGNENGYICHANG,ZAOCHENGCHUXUEKONGZHIBULIXIANG,YANWUQIANGJIUSHIJI[1]。YOUSHUJUXIANSHISHUXUELIANG2 500 mlYISHANG,HUANZHECHUXUEJILVJIAOGAO,YINCILINCHUANGZAIDUIJIXINGDACHUXUEHUANZHEJIYUDALIANGSHUXUESHIXUYAOJIEJUENINGXUEYICHANGWENTI[2]。LINCHUANGFAXIANDUIDACHUXUEHUANZHEZAOQISHIYONGLENGCHENDIAN、XUEXIAOBANDENGXUEZHIPIN,NENGYOUXIAOJIUZHENGJITININGXUEYICHANG,JISHIYOUXIAOKONGZHICHUXUE,JIANGDIHUANZHESIWANGLV。BENWENGUANCHA2016NIAN5YUE~2018NIAN7YUEQIJIAN125LIHUANZHEYILENGCHENDIAN、XUEXIAOBANDANDUSHUZHUYIJILIANHESHUZHUDEZHILIAOXIAOGUO,ZHIZAIWEIJINHOUJIBINGZHILIAOTIGONGCANKAO。

                                1、 资料与方法

                                1.1 、一般资料:

                                QU2016NIAN5YUE~2018NIAN7YUEQIJIAN125LIJIXINGDACHUXUEZHEWEIYANJIUDUIXIANG,ANSHUZIBIAOFASUIJIFENZU,AZU41LI,NAN23LI,NV18LI,NIANLING20~59SUI,PINGJUN(35.7±3.4)SUI,CHUXUESHIJIAN1~15 h,PINGJUN(5.9±0.8)h;BZU42LI,NAN23LI,NV19LI,NIANLING21~56SUI,PINGJUN(35.9±3.2)SUI,CHUXUESHIJIAN1~14 h,PINGJUN(5.9±0.7)h;CZUGONG42LI,NAN24LI,NV18LI,HUANZHENIANLING23~58SUI,PINGJUN(36.0±3.1)SUI,CHUXUESHIJIAN2~13 h,PINGJUN(6.0±0.8)h。SANZUXINGBIE、NIANLING、CHUXUESHIJIANDENGJIXIANZILIAOBIJIAO,CHAYIWUTONGJIXUEYIYI(P>0.05)。NARUBIAOZHUN:FUHEJIXINGDACHUXUELINCHUANGZHENDUANBIAOZHUN(24 hCHUXUELIANGHUO3 hNEICHUXUELIANGZHANZONGXUERONGLIANGDE50%YISHANG),YIYUANLUNLIWEIYUANHUIPIZHUN,HUANZHEWEIHEXUEYEXITONGJIBING、YANZHONGQIZHIXINGGONGNENGZHANGAI,JIASHUQIANSHUZHIQINGTONGYISHU。PAICHUBIAOZHUN:HUANZHELINCHUANGZILIAOBUWANZHENG,JINQIYOUFUYONGKANGNINGYAOSHI,HUANZHEYOUXIANTIANXINGNINGXUEGONGNENGZHANGAI,HUOHEBINGEXINGZHONGLIUZHE、ZHONGYAOQIGUANSHUAIJIE。

                                1.2 、方法:

                                患者经检查确诊后,由临床医师根据患者病情输注红细胞悬液,同时A组输注血小板(1~4个治疗量),B组输入冷沉淀(10~40 U),C组血小板、冷沉淀联合输入(1~4个治疗量、10~40 U),所有血小板、冷沉淀均以患者耐受行最快输注。
                               

                              急性大出血患者采用血小板和冷沉淀联合输注的效果
                               

                                1.3 、输注指征:

                                ①XUEXIAOBANSHUZHUZHIZHENG:PLT≤40×109/LHUOYOUMINGXIANCHUXUEQINGXIANG(PLT 50×109/L~100×109/L);②LENGCHENDIANSHUZHUZHIZHENG:APTT、PTSHUIPINGWEIZHENGCHANGZHI1.5BEIHUOHUANZHESHUXUEZHONGCHUXIANWEIXUEGUANCHUXUE。

                                1.4 、来源:

                              棋牌大全下载安装   ①XUEXIAOBANYOUXUEYEZHONGXINTIGONG,WEIXIBAOFENLIJIDANCAIXUEXIAOBAN,BINGZAIXIANXUEZHEXIANXUE48 hNEICAIJI,YU-80℃BINGXIANG,YONG5%ERJIAJIYAFANZHUCUN,1DAIWEIYIGEZHILIAOLIANG,XUEXIAOBANHANLIANGZAI250×109/LYISHANG,BAIXIBAOCANYULIANGZAI5.0×108/LYIXIA;②LENGCHENDIANYOUXUEYEZHONGXINTIGONG,WEIXINXIANLENGDONGXUEJIANG2 ℃~6 ℃JIEDONGHOUSHOUJIDEXUEJIANGLENGCHENDIANWU,FANGYU-80 ℃BINGXIANGZHUCUN,SHIYONGQIANXUYI37 ℃SHUIYURONGHUAHOUSHUZHU。

                                1.5、 观察指标:

                                BIJIAONINGXUEZHIBIAOZHILIAOQIANHOUSHUIPINGBIANHUA,ZUJIANBIJIAOHUANZHE24 hZHIXUEYOUXIAOLV,TONGJIGEZUZHIXUESHIJIANJIXUEXIAOBAN、LENGCHENDIAN、HONGXIBAOSHUZHULIANGQINGKUANG。BENCININGXUEZHIBIAOGUANCHA:HUOHUABUFENNINGXUEHUOMEISHIJIAN(APTT)、XUEXIAOBAN(PLT)、NINGXUEMEIYUANSHIJIAN(PT);YUHUANZHESHUZHUQIAN、SHUZHUHOU24 hNEIQUJINGMAIXUE,BAOCUNYUNINGMENGSUANNAKANGNINGGUANZHONG,HOUXINGLIXINCHULI(2 500 r/minLIXIN8 min)XUEJIANG,YIQUANZIDONGXUENINGYI(XINGHAOACL7000XING SHENZHENSHIHUAKERUIKEJIYOUXIANGONGSI)JIANCEPT、APTT,PLTYIQUANZIDONGXUEXIBAOJISHUYICELIANG。BENCISUOYOUCAOZUOJUNYANGEANZHAOBIAOZHUNGUICHENGJINXINGCAOZUO。

                                1.6、 统计学分析:

                                BENCISHUJUTONGJIXUEJIEGUOCAIYONGSPSS 19.0XITONGJINXINGFENXI,QIZHONGJISHUZILIAOYILV(%)BIAOSHI,CAIYONGχ2JIANYAN,JILIANGZILIAOYIJUNSHU±BIAOZHUNCHA(x ? ±s)(x?±s)

                                BIAOSHI,CAIYONGtJIANYAN,YIP<0.05BIAOMINGCHAYIYOUTONGJIXUEYIYI。

                                2 、结果

                                2.1、 凝血功能指标变化:

                                SHUZHUHOUCZUPT、APTTSHUIPINGDIYUQITALIANGZU,CHAYIYOUTONGJIXUEYIYI(P<0.05),JIANBIAO1。

                                表1 凝血功能指标(x ? ±s)(x?±s)
                              表1 凝血功能指标(x ? ±s)(x?±s)

                                2.2、 三组止血情况观察:

                              棋牌大全下载安装   CZU24 hZHIXUEYOUXIAOLVGAO、ZHIXUEYONGSHIDUAN,CHAYIYOUTONGJIXUEYIYI(P<0.05)。JIANBIAO2。

                                表2 三组止血情况观察
                              表2 三组止血情况观察

                                表3 三组血液制品输注量比较(x ? ±s,U)(x?±s,U)
                              表3 三组血液制品输注量比较(x ? ±s,U)(x?±s,U)

                                3 、讨论

                                JIXINGDACHUXUESHILINCHUANGJIZHONGZHENGZHIYI,HUANZHEYOUYUDUANSHIJIANNEIXUERONGLIANG、HONGXIBAOJIJUXIAJIANG,DAOZHIXIAOXUEGUANSHOUSUO、ZUZHIQUEYANG、HUIXINXUELIANGJIANSHAO、XINSHUCHULIANGJIANGDI,RUOBUJISHIZHILIAOZUZHIQUEYANGJIAZHONG、WEIXUNHUANZHANGAI,EXINGXUNHUANKEZHISHIXUEXINGXIUKE,DUIHUANZHESHENGMINGANQUANZAOCHENGWEIXIE[3]。SHUXUESHIJIXINGDACHUXUEQIANGJIUYOUXIAOSHOUDUAN,ZAOQILINCHUANGDUOTONGGUODUANSHIJIANNEIHONGXIBAOHUOQUANXUEDALIANGSHUZHULAIKUORONG,GAISHANZUZHIQUEYANG、QUEXUE,JINERWANJIUHUANZHESHENGMING,DANDALIANGSHIJIANBIAOMINGJINTONGGUOSHUZHUHONGXIBAOZHILIAOXIAOGUOYOUXIAN。

                                LINCHUANGFAXIANSHUXUESUOYONGQUANXUEHUOHONGXIBAO,QIANZHEXUEKUZHONGBAOCUNSHIJIAN24 hYISHANG,XUEZHONGNINGXUEYINZIZHUJIANSHIHUO,WUFAQIDAOZHIXUEDEZUOYONG,TONGSHIXUEZHONGGAILIZI、GOUYUANSUANFANYINGHUIYINFANINGXUEZHANGAI。ERHONGXIBAOZHONGWUNINGXUEYINZI,WUFAQIDAONINGXUE、ZHIXUEXIAOGUO,HUANZHEDALIANGSHUXUEHOUKENENGHUIJIFAXIANRONGKANGJIN,JIAZHONGNINGXUEZHANGAI,YINGXIANGQIANGJIUXIAOGUO[4]。XUEXIAOBAN、LENGCHENDIANSHUZHUSHIBIMIANHUANZHEDALIANGSHUXUECHUXIANNINGXUEGONGNENGYICHANGDEYOUXIAOSHOUDUAN,BENCIAZU24 hZHIXUEYOUXIAOLVWEI61.0%、BZUWEI61.9%,TONGSHISHUZHUHOUAZU、BZUPT、APTTSHUIPINGDIYUSHUZHUQIAN,BIAOMINGXUEXIAOBAN、LENGCHENDIANSHUZHUNENGQIDAONINGXUE、ZHIXUEDEZUOYONG。XUEXIAOBANZAININGXUEJIZHIZHONGFAHUIZHONGYAOZUOYONG,HUOHUAXUEXIAOBANJIQILIEJIECHANWUYOUZHIXUE、NINGXUEZUOYONG,DANHUANZHEDUANQIDALIANGSHUXUEHUIZAOCHENGXUEXIAOBANXISHIJIANSHAO,TONGGUOSHUZHUXUEXIAOBAN,QUEBAOXUEZHONGHANLIANGCHONGZU,CONGERNINGGUXUEYE、WEICHIXUEGUANBIWANZHENG,QIDAOZHIXUEXIAOGUO[5]。ERLENGCHENDIANZHONGHANYOUXIANWEILIANJIEDANBAI、XIANWEIDANBAIYUAN、ⅧYINZIDENGNINGXUEWUZHI,SHUZHUHOUNENGZENGJIAXUEZHONGNINGXUEWUZHIHANLIANG,CONGERXINGCHENGXUESHUANDEYIZHIXUE,TONGSHILENGCHENDIANSHUZHUKEQINGCHUFEIDUWUZHI、XIBAOZHANLIANDENG,KETIGAOSHUXUEANQUANXING[6]。BENCICZU24 hZHIXUEYOUXIAOLVWEI92.9%GAOYUQITALIANGZU,SHUZHUHOUCZUPT、APTTSHUIPINGDIYUQITALIANGZU,CZUZHIXUEYONGSHIDUAN、XUEXIAOBANSHUZHULIANGSHAOYUAZU,LENGCHENDIANSHUZHULIANGSHAOYUBZU,CHAYIJUNYOUTONGJIXUEYIYI(P<0.05)。JIEGUOTISHIYIXUEXIAOBAN、LENGCHENDIANLIANHESHUZHUZHIXUEXIAOGUOLIXIANG,HUANZHENINGXUEGONGNENGGAISHAN。FENXIYUANYINLENGCHENDIANZHONGHANYOUDUOZHONGNINGXUEWUZHI,ZAIDALIANGSHUXUESHIKEJIASUNEIYUANNINGXUEXITONGJIHUO,CUXUEXIAOBANYINZISHIFANG、ZENGJIATINEIXIANWEIDANBAIHANLIANG,YUXUEXIAOBANLIANYONGNENGQIDAOXIETONGZUOYONG,ZENGQIANGXUEXIAOBANJUJIGONGNENG、CUJIAOYUANXIANWEIYUXUEXIAOBANJIEHE、NINGXUEMEIXINGCHENG,YOUXIAOJIUZHENGJITININGXUEGONGNENGYICHANG,CONGERDADAOZHIXUEDEMUDE[7,8]。

                                ZONGSHANGSUOSHU,DUIJIXINGDACHUXUEZHEXINGXUEXIAOBAN、LENGCHENDIANLIANHESHUZHU,LINCHUANGZHIXUEXIAOGUOLIXIANG,HUANZHENINGXUEGONGNENGDEDAOGAISHAN,ZHIXUEYONGSHIDUAN,KETUIGUANGYINGYONG。

                                参考文献

                                [1] 彭艳.单采血小板输注联合冷沉淀对急性大出血孕产妇各项凝血指标的影响[J].中国实验诊断学,2017,21(1):120.
                                [2] 郑明秀.联合输注新鲜冰冻血浆和冷沉淀对消化道急性大出血的疗效观察[J].临床输血与检验,2017,19(3):234.
                                [3] 于玉芳.血小板与冷沉淀结合输注对大出血患者凝血功能的研究[J].检验医学与临床,2018,15(4):544.
                                [4] 张剑明.单采血小板与冷沉淀凝血因子对急性大出血的治疗效果评价[J].世界最新医学信息文摘,2017,17(84):35.
                                [5] 柏则蓉,郭晏海,卞玲.急性大出血患者输注冷沉淀的疗效观察及护理[J].护士进修杂志,2015,30(7):667.
                                [6] 周春浪,袁茜茜,韦小芬,等.产科急性大出血患者成分输血的疗效及策略研究[J].检验医学与临床,2015,12(20):3106.
                                [7] 刘和平,任峰.血小板及冷沉淀输注对创伤大出血患者凝血功能的影响[J].创伤外科杂志,2015,17(6):542.
                                [8] 谢仁伟,王明泉,陈泰裕,等.急性上消化道大出血新鲜冰冻血浆和冷沉淀的联合输注[J].国际检验医学杂志,2016,37(7):999.

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