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1、冷沉淀在结核性脓胸手术中的应用鲁玉桂1蔡小林2李红玉(兰州市肺科医院胸外科甘肃兰州730046)Cryoprecipitateusedintheoperationoftuberculousempyema.LuYuguiYangBinLihongyu(Departmentofthoracicsurgery,LanzhouHospitalofGansuLanzhou730046)新!为您提供类似表述,查看示例用法:【摘要】目的探讨结核性脓胸患者术后应用冷沉淀的效果。方法 选用结核性脓胸手术患者例随机分为治疗组(20例)和对照组(18例),治疗组和对照组术后均输注红细胞悬液、新鲜冰冻血浆,个
2、别患者输注血小板,治疗组在此基础上同时输注冷沉淀5~15u,对照组未输注冷沉淀。结果对照组PT、aPTT、Fbg与基础值相比,有极显著差异,P<0.01。与治疗组相比,有显著差异,P<0.05。Hb及BPC计数基础值与对照组、对照组与治疗组均无明显变化(P>0.05)。红细胞悬液、血浆、血小板的输注量及出血总量明显减少,其差异具有统计学意义,P<0.05。结论冷沉淀作为一种成分血,对患者止渗血及术后伤口愈合、控制感染等方面起到了重要的作用。临床医生在运用时,要正确掌握手术患者出血的输血指征,充足、科学、合理、适时地补充血液成分,不但能挽救病人的生命,而且可以减少输血不良反应、提高输血疗
3、效,降低输血并发症、节约血源,对促进外科手术学发展具有重要的临床意义。【关键词】冷沉淀;脓胸术后;应用本文作者:鲁玉桂,女,主管护师。Tel:13519625095E-mail:13519625095@139.com2通讯作者:蔡小林,女,副主任护师,护理部主任。Tel:13519653536,E-mail:caixiaolin1970@163.com[Abstract]ObjectiveToinvestigatepatientswithtuberculousempyemaaftercoldprecipitationeffect.Methodsthetuberculosispatien
4、tswithempyemaoperationwererandomlydividedintothetreatmentgroup(20cases)andcontrolgroup(18cases),thetreatmentgroupandthecontrolgroupinallpatientsafterinfusionofredbloodcellsuspension,freshfrozenplasma,individualpatientswithplatelettransfusion,thetreatmentgroupatthesametimeonthebasisofcryoprecipit
5、atefrom5to15u,thecontrolgroupwasnotcryoprecipitate.ResultscomparedtocontrolgroupPT,aPTT,Fbgandbasicvalue,thereissignificantdifference,P<0.01.Comparedwiththetreatmentgroup,therearesignificantdifferences,P<0.05.HbandBPCcountvaluewiththecontrolgroup,thecontrolgroupandthetreatmentgrouphadnosignifica
6、ntchanges(P>0.05).Suspensionplasma,redbloodcellplatelettransfusionandbleedingvolumedecreasedsignificantly,thedifferencewassignificant,P<0.05.Conclusioncoldprecipitationasabloodcomponent,tostopbleedinginpatientsonpostoperativewoundhealing,infection5controlplaysanimportantrolein.Clinicianswheninus
7、e,mustgraspofhemorrhageinpatientswithbloodtransfusionoperationindication,sufficient,scientific,reasonable,timelysupplementofbloodcomponents,notonlycansavethepatient'slife,butalsocanreducetheadversetransfusionreaction,improvi