肝移植患者围手术期的输血治疗及评估
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《第四军医大学学报》
肝移植,,肝脏疾病;肝移植;输血,1对象和方法,2结果,3讨论,【参考文献】
comEvaluation of perioperation blood component transfusion therapy in liver transplantationWANG BaoYan1, ZHANG JianGeng2, SONG XinMei1, ZHANG WenLi1
1Department of Blood Transfusion, First Affiliated Hospital, Xian Jiaotong University, 2Shaanxi Blood Center, Xian 710061, China
【Abstract】 AIM: To investigate the perioperation blood component transfusion therapy and to summarize the experience of blood protection. METHODS: Eighty patients with liver transplantation were divided into 5 groups according to basic diseases and compared in the variety of blood routine and coagulation index for evaluating the effect of different basic diseases on blood component transfusion during operation. RESULTS: The levels of haemoglobin, platelet count and coagulation index were not statistically different between the 5 groups. The amount of transfused red blood cells and plasma in hepatitis B combined with primary liver cirrhosis group was higher than that in other groups (P<0.05). The amount of platelet and whole blood transfusion had no statistical difference among various basic diseases. The total amount of blood transfusion could be decreased by use of blood conservation measures. CONCLUSION: Transfusion with appropriate components according to the patents disease conditions, taking corresponding blood conservation during the different periods, and monitoring the coagulation function can effectively reduce the amount of blood transfusion and enhance the success rate of liver transplantation. ......
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