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目的了解全髋关节置换手术在不同等级医院临床用血量,为临床用血提供数据参考,促进血液中心供血调控和加强临床用血管理。方法回顾性比较分析武汉4家不同等级医院512例全髋置换手术围手术期临床用血的红细胞和血浆输注量及其术中、术后输注率,分析其临床用血特点和科学性。结果红细胞输注量上,省级综合性三甲B医院最少;血浆输注量上,市级骨科专科三甲C医院最少,市级一般三甲D医院最多;对于术中红细胞输注率,部属综合性三甲A医院和省级综合性三甲B医院较低;术后红细胞输注率,C医院最低,D医院最高;术中血浆输注率,C医院最低,D医院最高;而术后血浆输注率,A医院和C医院较低。结论临床用血量与医院级别有一定的关联,骨科专科医院在全髋关节置换手术围手术期临床用血控制较好,血浆输注量、输注率及术后红细胞输注率均是四种级别医院中最少和最低的。
Objective To understand the clinical blood volume of total hip arthroplasty in hospitals of different grades, to provide data reference for clinical use of blood, to promote blood center regulation of blood and to strengthen clinical blood management. Methods We retrospectively analyzed and compared the transfusion rate of red blood cells and plasma and the intraoperative and postoperative infusion rate of 512 cases of perioperative clinical blood in four hospitals of different grades in Wuhan. The clinical features and scientific . Results The amount of erythrocyte infusion was the lowest among provincial comprehensive Grade B hospitals. The plasma infusion was the lowest among the three C hospitals in municipal orthopedics and the highest in Grade A hospitals. The intraoperative erythrocyte infusion rates were subordinate The rate of transfusion of RBC, the lowest in C hospital and the highest in D hospital; the rate of intraoperative plasma infusion, the lowest in C hospital and the highest in D hospital; and the postoperative plasma infusion Rate, Hospital A and Hospital C are lower. Conclusion The clinical use of blood and hospital level has some relevance, orthopedic hospital in total hip replacement surgery perioperative clinical blood control is better, plasma infusion, infusion rate and postoperative red blood cell infusion rates are four The lowest and lowest level hospitals.