摘要
目的探讨常规凝血检验项目在异位妊娠大出血输血治疗效果监测及预测中的作用。方法选取2016年3月~2018年9月收治的异位妊娠大出血患者68例,依据是否发生不良反应分成两组;对照组19例为发生不良反应患者,研究组49例为未发生不良反应患者。观察对比治疗前后两组的相关凝血指标(PT、APTT、TT、FIB)和血常规指标(PLT、HCT、RBC、HGB水平)的变化情况。结果研究组PT、APTT、TT较治疗前显著降低,FIB较治疗前显著升高(P<0.05),对照组上述相关凝血指标水平与治疗前相比显著升高(P<0.05);研究组相关血常规指标水平显著高于对照组(P<0.05)。结论检验患者的相关凝血指标及血常规指标,可以评估异位妊娠患者在接受输血治疗过程中是否合并出现不良反应的风险。
ObjectiveTo explore the role of routine coagulation test items in monitoring and predicting the therapeutic effect of blood transfusion for massive hemorrhage of ectopic pregnancy. Methods68 patients with massive hemorrhage of ectopic pregnancy admitted to our hospital from March 2016 to September 2018 were selected and divided into two groups according to the occurrence of adverse reactions.19 patients in control group were those with adverse reactions,and 49 patients in study group were those without adverse reactions.And then,the changes of related coagulation indexes(PT,APTT,TT and FIB) and blood routine indexes(PLT,HCT,RBC,HGB levels) were observed and compared between the two groups before and after treatment. ResultsThe PT,APTT and TT in the study group were significantly lower than those before treatment,but the FIB was significantly higher than that before treatment( P <0.05),and the above-mentioned related coagulation indexes in the control group were significantly higher than those before treatment( P <0.05).The levels of blood routine indexes in the study group were significantly higher than those in the control group( P <0.05). ConclusionThe risk of adverse reactions in patients with ectopic pregnancy during transfusion therapy can be evaluated by examining the relevant coagulation indexes and blood routine indexes of the patients.
作者
赵丽娟
刘娟
潘枫
熊德琼
张泽君
ZHAO Lijuan;LIU Juan;PAN Feng;XIONG Deqiong;ZHANG Zejun(Department of Blood Transfusion,Dazhou Intergrated TCM & Western Medicine Hospital,Dazhou 635000,China)
出处
《右江医学》
2019年第6期444-447,共4页
Chinese Youjiang Medical Journal
关键词
异位妊娠
凝血指标
血常规
输血治疗
ectopic pregnancy
coagulation indexes
routine blood
blood transfusion therapy
