论文部分内容阅读
目的对大量输血后纤维蛋白原和血小板的临床变化进行观察分析。方法选取我院2016年1月~2017年1月收治的进行大量输血的患者41例,对这些患者输血前后的纤维蛋白原(FIB)、血小板计数(PLT)、凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)进行观察记录后比较。结果输血后,纤维蛋白原(FIB)、血小板计数(PLT)与输血前比较,差异显著,差异有统计学意义(P<0.05);凝血酶原时间(PT)、凝血酶时间(TT)、活化部分凝血活酶时间(APTT)等凝血指标水平较之输血前,改善程度明显,差异有统计学意义(P<0.05)。结论大量输血后的患者,其纤维蛋白原、血小板计数局呈现出下降的现象,因此在临床治疗时需要根据患者的情况予以补充,以保证输血的有效性。
Objective To observe and analyze the clinical changes of fibrinogen and platelet after massive transfusion. Methods Forty-one patients with massive blood transfusions who were admitted to our hospital from January 2016 to January 2017 were enrolled in this study. Fibrin, platelet count (PLT), prothrombin time (PT) Thrombin time (TT), activated partial thromboplastin time (APTT) were observed and compared after recording. Results After transfusion, fibrinogen (FIB) and platelet count (PLT) were significantly different from those before transfusions (P <0.05). Prothrombin time (PT), thrombin time (TT) Activated partial thromboplastin time (APTT) and other indicators of blood coagulation than before transfusion, the improvement was significant, the difference was statistically significant (P <0.05). Conclusion After transfusion of blood, the fibrinogen and platelet counts show a decreasing trend. Therefore, it needs to be supplemented according to the patient’s condition in clinical treatment to ensure the effectiveness of blood transfusion.