摘要
目的:探讨多通道输血在消化道大出血治疗与单通道输血的临床效果。方法:选择收治的上消化道大出血失血性休克患者80例,按照随机数字法分为2组,每组各40例,观察组立即由2组护士对患者非同侧外周静脉进行静脉穿刺,开放2组静脉通道同时进行输血治疗,对照组则仅开放一条外周静脉通道进行输血治疗,比较2组治疗过程中患者血红蛋白、血小板变化情况及输入4U红细胞或400 m L血浆耗时。结果:观察组血红蛋白及血小板恢复情况均优于对照组(P<0.05);输入4U红细胞或400 m L血浆耗时均显著短于对照组(P<0.05)。2组均未见明显输血相关不良反应出现。结论:针对上消化道大出血失血性休克患者行外周静脉多通道输血,能较快的纠正患者贫血,减少出血,缩短输血治疗时间,且不良反应少。
Objective ：To investigate the clinical effect of multichannel transfusion and single-channel transfusion in treatment of massive gastrointestinal hemorrhage. Methods ：80 patients with hemorrhagic shock of upper digestive tract were randomly divided into two groups ,40 cases in each. The observation group underwent ipsilateral peripheral venous puncture ,with two groups of venous passa- ges open for transfusion treatment, while the control group only opened one peripheral venous passage for transfusion. The two groups of patients were compared in the course of treatment in teims of the changes of hemoglobin and platelet,and the time consuming of 4U red blood cells or 400ml plasma transfusion. Results： The hemoglobin and platelet recovery in the observation group was better than that in the control group（ P 〈 0.05 ）. The time of transfusing 4U red blood cells or 400ml plasma in the observation group was significantly shorter than the control group （ P 〈 0.05 ）. No blood transfusion-related adverse reactions occurred in either group. Conclusion ： For patients with hemorrhagic shock of upper digestive tract, multi-channel transfusion of peripheral vein can quickly correct anemia, reduce the bleeding, shorten the time of blood transfusion, and have less adverse reaction. It is worth clinical application.
出处
《淮海医药》
CAS
2017年第3期274-275,共2页
Journal of Huaihai Medicine
关键词
胃肠出血
多通道
输血
Gastrointestinal hemorrhage
Multi-channel
Blood transfusion
