摘要
目的了解综合医院老年人大量输血现状，旨在提高临床合理用血水平，保障老年人用血安全。方法收集2011年7月至2012年12月我院大量输血的100例患者临床资料，选取60岁及以上患者32例作为老年组，并与全院其他非老年组患者进行比较与分析，人选患者临床输血指征均符合卫生部2000年颁布的《临床输血技术规范》要求。结果大量输血的老年患者所在临床科室以外科为主，包括骨科、普通外科、肝胆外科、心脏外科和泌尿外科，其次为消化内科，平均年龄分别为71．5岁、69．9岁、72．0岁、66．0岁、65．5岁、70．8岁，分别占该科室大量用血患者的50．0％、70．0％、20．0％、75．0％、20．0％和66．7％；其中消化内科、普通外科、肝胆外科和骨科老年患者例均用血量高于非老年患者例均用血量，红细胞成分例均差分别为14．0U、7．0U、5．2U和4．1U；血浆成分例均差分别为23．3U、8．4U、8．0U、0．5U；肝胆外科的血小板成分例均差为1．6U。结论老年人输血风险通常大于非老年人，应合理选择有效血液成分，减少不必要的输血，减少对血浆输注的依赖和不必要的搭配输血，避免负荷过重和不良输血反应的发生。
Objective To investigate the clinical status of massive transfusion in elderly patients in general hospital in order to improve the clinical use of blood and ensure the security of blood transfusion in elderly patients. Methods 100 patients who required massive transfusion were divided into 2 groups： elderly group （patients aged 60 years and over, n= 32） and non-elderly group （patients aged under 60 years, n= 68）. Clinical blood transfusion indications in all patients met the Technical Criterion of Clinical Blood Transfusion issued by Ministry of Health of the People＇s Republic of China in 2000. Clinical data were analyzed and compared between the two groups. Results Elderly patients with massive transfusion were mainly in department of surgery, including department of orthopedics, general surgery, hepatobiliary surgery, cardiac surgery and urology surgery and gastroenterology, and the mean age of patients in these departments was 71.5 years, 69.9 years, 72.0 years, 66.0 years, 65. 5 years, 70. 8 years respectively, accounting for 50.0%, 70.0%, 20.0%, 75.0%, 20. 0% and 66.7% in all patients who required massive blood transfusion respectively. The mean blood transfusion volumes were higher in patients in department of gastroenterology, general surgery, hepatobiliary surgery and orthopedic, in which the mean units of red blood cell components transfusion were 14.0 U, 7.0 U, 5.2 U and 4.1U respectively, the mean units of plasma components transfusion were 23.3 U, 8.4 U, 8.0 U, 0.5 U respectively, and the mean uint of platelet components transfusion was 1.6 U in hepatobiliary surgery. Conclusions The risk of blood transfusion is higher in the elderly than in the non elderly. We should select the effective blood components reasonablely, reduce the unnecessary blood transfusion and decrease the dependence on plasma transfusion to avoid the transfusion overload and adverse reactions.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2013年第12期1305-1307,共3页
Chinese Journal of Geriatrics
关键词
输血
医院
综合
Blood transfusion
Hospitals, general
作者简介
通信作者：郭文敬，Email：gwjingl215@sina．com
