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目的分析不同类型医院室间隔修补术围手术期临床用血,为临床合理用血提供参考。方法对专科医院、大型综合性医院、地区综合性医院接受室间隔修补术的患者围手术期临床用血情况进行回顾性分析,分析红细胞、血浆和冷沉淀输注率与输注量的差异。结果专科医院室间隔修补术红细胞输注率(52.5%),输注量(1.00±0.99 U),显著低于大型综合性医院的输注率(95.3%)、输注量(3.25±1.77)U,亦显著低于地区综合性医院的医院的输注率(95.8%)、输注量(3.08±1.63),均有P<0.05。专科医院室间隔修补术的血浆输注率仅为1%,显著低于大型综合性医院(94.5%)和地区综合性医院(87.3%),P<0.01。大型综合性医院室间隔缺损术冷沉淀输注率为零,低于专科医院(1.5%)和地区综合性医院(2.5%),P<0.01。结论心脏专科医院在室间隔手术的为手术期临床用血控制良好,用血量显著低于综合性医院。
Objective To analyze the perioperative clinical blood supply of different types of hospital interventricular septal repair, and provide reference for the clinical use of blood. Methods Retrospective analysis of perioperative clinical blood supply of patients undergoing interventricular septal repair in special hospitals, large general hospitals and regional general hospitals was conducted to analyze the difference of transfusion rate and transfusion between erythrocytes, plasma and cryoprecipitate. Results The rate of transfusion of erythrocytes (52.5%) and transfusion volume (1.00 ± 0.99 U) in special hospitals was significantly lower than that in large general hospitals (95.3%) and infusion volume (3.25 ± 1.77) U, also significantly lower than the hospital infusion rate (95.8%) and infusion volume (3.08 ± 1.63) in the regional general hospital, both P <0.05. The rate of plasma infusion in specialist hospitals was only 1%, significantly lower than that in large general hospitals (94.5%) and regional general hospitals (87.3%), P <0.01. Cold infusion rates for large-scale generalized ventricular septal defect surgery were zero, lower than those in specialist hospitals (1.5%) and general hospitals (2.5%), P <0.01. CONCLUSIONS: Cardiac surgery hospitals have good clinical control of blood transseptal surgery with blood volume significantly lower than that of general hospitals.