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目的分析血液成分不同输血比例对大量输血患者死亡率的影响。方法选取我院收治的75例大量输血患者,纳入时间为2015年6月~2017年6月。依据FFP:CRBC比例,以100ml∶1U作为比例单位,将其分为3组:低比例(1∶3)组、中比例(1∶2)组、高比例组(1∶1)各25例,评定治疗效果。结果输血后,三组患者的呼吸、体温、血压指标差异不大(P>0.05)。治疗后患者的PT和APTT指标提高、FIB指标降低;且高比例组改善最明显、中比例组次之,差异显著(P<0.05)。低、中、高比例三组患者死亡率为16.0%、12.0%、8.0%,对比差异不大(P>0.05)。结论大量输血患者适当提高血浆输注比例,能有效防止凝血功能障碍发生,降低患者死亡风险。
Objective To analyze the influence of different blood transfusion ratio on the mortality of a large number of transfusion patients. Methods A total of 75 patients with massive transfusion admitted to our hospital from June 2015 to June 2017 were enrolled. According to the FFP: CRBC ratio, 100ml:1U was divided into three groups: low ratio (1: 3) group, medium ratio (1: 2) group and high ratio group (1: 1) , Assess the effect of treatment. Results After transfusion, there was no significant difference in respiration, body temperature and blood pressure among the three groups (P> 0.05). After treatment, PT and APTT index increased, FIB index decreased; and the high ratio group improved the most obviously, the middle ratio group followed by significant difference (P <0.05). The mortality rates of low, middle and high proportion patients in three groups were 16.0%, 12.0% and 8.0% respectively, with no significant difference (P> 0.05). Conclusion A large number of patients with blood transfusion increased the proportion of plasma infusion, can effectively prevent coagulation disorders, reduce the risk of death in patients.