摘要
目的对产后出血的患者输血管理及妊娠结局进行观察分析。方法方便选取该院2018年1—12月收治的20例产后出血患者作为研究对象。由于其均合并不同程度的贫血以及妊娠期高血压、重度子痫前期等并发症,对出血的耐受性较差,临床在结合患者产后出血情况给予止血处理后,根据其实验室检查结果对需要输血患者确保在24 h内进行输血支持,并对其输血前、后的各项凝血指标变化进行对比。结果输血前相比APTT(28.23±5.14)s、PT(14.56±2.13)s、FIB(8.69±2.74)g/L、PLT(202.38±35.62)×10^9L、HGB(87.12±11.48)g/L,输血后患者的APTT(活化部分凝血酶原时间)为(60.54±8.17)s、PT(凝血酶原时间)(22.54±3.27)s、FIB(纤维蛋白原)(2.25±0.68)g/L、PLT(血小板计数)(25.64±7.49)×10^9/L、HGB(血红蛋白)(123.04±18.76)g/L指标均差异有统计学意义(t=7.694、7.239、7.036、7.958、4.593,P<0.05),其中,输血后患者的APTT、PT、HGB指标结果明显高于输血前,而FIB、PLT指标结果则较输血前降低(P<0.05)。结论结合产后出血患者的具体情况,根据其凝血指标检测变化进行规范的输血管理,能够有效提升其治疗效果。
Objective To observe and analyze the blood transfusion management and pregnancy outcome of patients with postpartum hemorrhage.Methods 20 patients with postpartum hemorrhage admitted to the hospital from January to December 2018 were convenient selected as the study subjects.Because of the complications of anemia,pregnancy hypertension,severe preeclampsia and other complications,the tolerance of hemorrhage is poor.Clinically,after hemostasis treatment combined with postpartum hemorrhage,patients who need blood transfusion are ensured to receive blood transfusion support within 24 hours according to their laboratory examination results and before transfusion.The changes of coagulation indexes were compared.Results Compared with APTT(28.23±5.14)s,PT(14.56±2.13)s,FIB(8.69±2.74)g/L,PLT(202.38±35.62)×10^9L and HGB(87.12±11.48)g/L before transfusion,there were statistically significant differences in APTT(activated partial prothrombin time)(60.54±8.17)s,PT(22.54±3.27)s,FIB(fibrinogen)(2.25±0.68)g/L,PLT(platelet count)(25.64±7.49)×10^9L,and HGB(hemoglobin)(123.04±18.76)g/L after transfusion(t=7.694,7.239,7.036,7.958,4.593,P<0.05).The results of APTT,PT and HGB after transfusion were significantly higher than those before transfusion,while the results of FIB and PLT were lower than those before transfusion(P<0.05).Conclusion According to the specific situation of patients with postpartum hemorrhage and the changes of blood coagulation index,standardized transfusion management can effectively improve the therapeutic effect.
作者
王爱华
杨奕梅
戴芙蓉
李科珍
孙宇
包蕾
沈翠花
康玮
WANG Ai-hua;YANG Yi-mei;DAI Fu-rong;LI Ke-zhen;SUN Yu;BAO Lei;SHEN Cui-hua;KANG Wei(Department of Obstetrics,Maternal and Child Health Hospital of Kunming,Kunming,Yunnan Province,650031 China)
出处
《中外医疗》
2020年第9期57-59,共3页
China & Foreign Medical Treatment
关键词
产后出血
凝血指标
检测
变化
输血管理
Postpartum hemorrhage
Coagulation index
Detection
Change
Blood transfusion management
