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目的:了解肝肿瘤切除术患者围术期用血情况及输血相关因素。方法:对126例肝肿瘤切除术患者的临床资料及输血情况进行分析,并对输血相关因素进行单因素和多因素logistic回归分析。结果:126例患者中有44例至少输注了1U红细胞,输血率为34.92%;术前贫血及血红蛋白浓度、手术持续时间、体质指数(BMI)、术中失血量是患者是否需输血的影响因素,前白蛋白,ALB,AST,ALP,GGT,DBIL,IBIL,HBG这些临床变量与输血有关(P<0.05);性别、年龄、手术部位、组织学分类,T/N分期和血型对围术期是否需输血无显著性影响(P>0.05)。结论:术中失血量、BMI、术前贫血与否是患者是否需输血的主要决定因素,手术持续时间和术前血红蛋白浓度,前白蛋白,ALB,AST,ALP,GGT,DBIL,IBIL,HBG也是需要考虑的因素。
Objective: To understand the perioperative blood utilization and related factors of transfusion in patients with liver tumor resection. Methods: The clinical data and blood transfusion of 126 patients undergoing resection of liver tumor were analyzed, and the factors related to blood transfusion were analyzed by single factor and multivariate logistic regression analysis. Results: 44 of 126 patients were transfused with at least 1U of erythrocytes and the blood transfusion rate was 34.92%. Preoperative anemia and hemoglobin concentration, duration of surgery, body mass index (BMI) and intraoperative blood loss were the effects of blood transfusion The clinical variables such as prealbumin, ALB, AST, ALP, GGT, DBIL, IBIL and HBG were related to blood transfusion (P <0.05); sex, age, surgical site, histological classification, T / N staging and blood type Whether blood transfusion required no significant effect (P> 0.05). Conclusion: The intraoperative blood loss, BMI and preoperative anemia are the main determinants of whether patients need blood transfusion, the duration of surgery and preoperative hemoglobin concentration, prealbumin, ALB, AST, ALP, GGT, DBIL, IBIL, HBG Also need to consider the factors.