Title: Analysis of massive transfusion in 252 cases
Abstract: Objective To analyse clinical data of blood transfusion using whole blood and blood components for patients tranfused more than 3 000ml of blood from 1991 , 1 - 2003,5. Methods The book for cross matching and delivery of blood,data of computer control for used blood and medical data was checked up. The changes of the volume of blood, hemoglobin (Hb) ,haematocrit(Hct) and platelet count (Plt) after blood transfusion were analysed. Before blood transfusion, those with the Hb 80g/L were grouped in group A, those with Hb 80g/L into group B. These data were analysed by statistical computer program. Results In 252 cases,before the year of 1998,80 cases were transfused 434 436ml of blood,in which whole blood was used in 91.9% of cases; after 1999,172 cases were transfused 951 055ml of blood, in which whole blood was used in 3.3% of cases,RBC in 59.2% of cases,plasma 29.8% of cases. After transfusion,Hb wasraisedfrom 53.8-95.6g/L to 88.9-132.1g/L,Hct was raised from 16.5% -29.8% to 26.8% -39.0%,Plt was raised from (9.7-12.3) ×109/L to (13.8-25.2) × 109/L. Ratio of transfusion of blood components reached to 96.7 % , saving 281 510ml of blood since 1999. There was no significant difference in death rate between the two groups. Conclusion For the patients having massive hemorrhage,RBC should be used to keep Hb over 80g/L. Red blood cells and plasma should be transfused according to a ratio of 2:1, and blood components should be supplied as demanded to maintain function of blood coagulation.
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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