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目的:探讨冷沉淀输注的时间不同对创伤性失血患者输血量的影响及其意义。方法:将我院2012年1月～2013年10月收治的严重创伤患者41例按输注冷沉淀的时间不同分为2组,A组为第1袋红细胞悬液输注时间与第1个单位的冷沉淀输注时间间隔小于3小时的患者,B组为两者时间间隔大于3小时的患者。计算患者病情稳定(不再输血)后,输注红悬和血浆的总量,比较2组病例输血量的差异。结果:A组27例患者中,红悬平均用量为15.4U,血浆平均用量16.2U,B组14例患者中,红悬平均用量23.6U,血浆用量平均24.3U。结论:第1袋红细胞悬液输注3小时内输注冷沉淀的A组病例较3小时后输注冷沉淀的B组病例用血量明显减少,结果说明尽早进行冷沉淀输注可以减少严重创伤性失血患者的输血量。
Objective: To investigate the effect and significance of different time of cryoprecipitate infusion on blood transfusion in patients with traumatic hemorrhage. Methods: 41 cases of severe traumatic patients admitted to our hospital from January 2012 to October 2013 were divided into two groups according to the time of infusion of cryoprecipitate. Group A was the infusing time of the first bag of erythrocytes suspension compared with the first Patients in units of cryoprecipitate infusion less than 3 hours apart, and patients in group B more than 3 hours apart. After calculating the patient’s stable condition (no longer transfusion), the total amount of red suspension and plasma was transfused, and the difference of blood transfusion volume was compared between the two groups. Results: In group A, the average dosage of red suspension was 15.4U and the average amount of plasma was 16.2U. In group B, the average dosage of red suspension was 23.6U and that of plasma was 24.3U. CONCLUSION: The blood volume of patients in group A with infusion of cryoprecipitate within 3 hours after the first bag of erythrocyte suspension infusion was significantly reduced compared with those in group B with 3-hour infusion of cryoprecipitate. As a result, the infusion of cryoprecipitate as early as possible can reduce serious Traumatic blood loss in patients with transfusion.