摘要
目的探讨围手术期输注去白细胞输血与患者术后切口感染的关系。方法对2008年1月至2009年6月来自本院外科、妇科、口腔科病区的427例手术患者的病例资料进行围手术期输注去白细胞悬液与术后切口感染关系的回顾性调查分析。结果输注去白细胞悬液组切口感染率为13.1%,未输血组切口感染率为11.1%,2组差异无统计学意义(P>0.05);但是随着去白细胞输血量增加,切口感染发生率逐渐增加,去白细胞悬液输血量为8～12 U组和12～16 U组同2～4 U组相比切口感染发生率明显增加,差异有统计学意义(P<0.05)。结论围手术期患者术后感染发生率与输注去白细胞悬液之间无明显相关性,但大量输注去白细胞悬液可能会成为增加术后切口感染率的一个危险指标,对于去白细胞悬液临床医生应慎重、合理应用。
Objective To discuss the relationship between perioperative transfusion of leukocyte-depleted blood transfusion in patients and postoperative wound infection. Methods Retrospetive analyzed the data during Jan 2007 to Jun 2009. Focused on the relationships between the transfusion of leukocyte depleted and the wound infection of 427 cases from the ward of surgery,gynecology,oral surgery. Results In the group transfusion of the red blood cell suspension depleted white blood cell group, the infection rate was 13.1%, it was 11.1% for the group of Non transfusion,there is no significant differences between two groups （P〉 0.05）;However, the infection rate increased with the increasing quantity of transfusion, there was a significant difference（P〈 0.05） between 8-12 u group and 2-4 u group, 12-16u group and 2-4 group. Conclusion The infection rate of peri-operative infection was not related to the transfusion of red hlood cell suspension depleted leukocyte, However, it is a risk factor for a lot of transfusion red blood cell suspension depleted leukocyte, h should be paled more attentaion for clinical doctor.
出处
《国际检验医学杂志》
CAS
2010年第7期694-694,696,共2页
International Journal of Laboratory Medicine
关键词
手术期间
白细胞去除术
输血
外科伤口感染
intraoperative period
leukaphcresis
blood transfusion
surgical wound infection
