摘要
目的通过单中心分析儿童骨科手术的输血状况,为儿童骨科手术的临床用血和血液保护提供依据。方法选取2015年10月~2018年9月三年间我院儿童骨科手术患儿7217例,采集年龄、病种输血例数、血液制剂各成分的输注量等,进行统计学分析。结果围术期输血率较高的是2~4岁学龄前儿童(P<0.05),其中骨折和先天性畸形血液制品输注比例较高(P<0.05)。除发育性髋关节发育不良(DDH)手术,其它疾病在各年龄段患儿手术例数及输血率存在统计学差异(P<0.05),且同年龄有一定的相关性。各病种总输血例数及悬浮红细胞和血浆的人均输注量存在显著差异(P<0.05)。结论了解我院儿童骨科病种围手术用血情况,有利于提高全院临床用血水平。
Objective To investigate the transfusion status of pediatric orthopaedic operation,so as to provide basis evidence for clinical blood protection in pediatric orthopaedic surgery.Methods A total of 7217 children undergoing orthopedic surgery in our hospital from October 2015 to September 2018 were enrolled.The age,the number of blood transfusion cases,the infusion volume of blood components were collected and statistically analyzed.Results The rate of perioperative transfusion was higher in 2-4-year-old preschool children(P<0.05),and the transfusion proportion was higher in fracture and congenital malformation groups(P<0.05).Except for developmental hip dysplasia(DDH),there were significant differences in the number of surgical cases and transfusion rate among different age groups,and there was a certain correlation with age.There were significant differences in the total number of transfusions and the per capita transfusion volume of red blood cells and plasma among different diseases(P<0.05).Conclusion The analysis of perioperative transfusion for pediatric orthopaedic diseases is helpful to improve transfusion technology in our hospital.
作者
陈波
蔡豪褀
顾萍
王静
CHEN Bo;CAI Hao-qi;GU Ping(Department of Blood Transfusion,Shanghai Children's Medical Center,Medical College of Shanghai Jiaotong University,Shanghai 200127)
出处
《临床输血与检验》
CAS
2020年第5期497-501,共5页
Journal of Clinical Transfusion and Laboratory Medicine
关键词
儿童骨科手术
临床输血
Pediatric orthopaedic surgery
Clinical blood transfusion
