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目的:分析烧伤科不同程度烧伤患者用血液制剂情况,探讨比较中度、重度及特重度烧伤患者红细胞及血浆的使用量及输血治疗对血常规、凝血功能及肾功能的影响,为临床合理用血提供参考依据。方法:对烧伤科2014-03-2015-10收治的552例患者的病历进行回顾性调查分析。观察分析3组患者红细胞及血浆平均使用量,比较其输血治疗前后血常规、凝血功能及肾功能差异。结果:中度及特重度烧伤患者红细胞平均用量与血浆用量呈正相关,相关系数r分别为0.425及0.819,P<0.05,2组患者治疗前后Hct及Hb的检验值分别为2.484,2.415(P<0.05),各组患者输血治疗与凝血功能及肾功能无显著相关性(P>0.05)。结论:烧伤患者红细胞与血浆的使用量与烧伤严重程度呈正相关,血浆尤甚,需要加强对血浆使用的监管,节约血液资源,降低输血传播疾病的发生率。血液制剂的使用能影响血常规中Hct、Hb的改变,但不影响机体凝血功能及肾功能。
OBJECTIVE: To analyze the use of blood preparations in burn patients with different degrees of burn, and to compare the effects of blood transfusion, blood transfusion, and erythrocytes and plasma on the blood routine, coagulation and renal function in patients with moderate, severe and severe burn. Blood to provide a reference. Methods: The medical records of 552 patients admitted to Department of Burnology 2014-03-2015-10 were analyzed retrospectively. The average usage of erythrocytes and plasma in the three groups was observed and compared. The blood routine, coagulation and renal function were compared before and after the transfusion therapy. Results: The average amount of erythrocytes in patients with moderate and severe burns was positively correlated with the amount of plasma. The correlation coefficients r were 0.425 and 0.819 respectively (P <0.05). The test values of Hct and Hb in patients before and after treatment were 2.484 and 2.415 respectively (P < 0.05). There was no significant correlation between blood transfusion and coagulation and renal function in all groups (P> 0.05). Conclusion: There is a positive correlation between the usage of erythrocyte and plasma and the severity of burn in patients with burn. In particular, the plasma needs to be more regulated, the blood resources should be saved, and the incidence of transfusion transmitted diseases should be reduced. The use of blood preparations can affect blood Hct, Hb changes, but does not affect the body’s coagulation and renal function.