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目的为小儿手术围术期临床用血及血液保护提供参考数据。方法提取华西医院手术患者围术期用血资料数据库中1996～2007年12个年度年龄≤14岁患者的资料,回顾性统计分析不同年龄组患儿围术期全血、红细胞悬液、新鲜冰冻血浆的使用情况及其趋势。结果 1996～2007年间,小儿手术围术期平均输血率为11.75%,全血、RBCs、FFP输注比例分别46.40%、32.91%、19.94%,输注率最高为新生儿(39.23%),手术患儿围术期全血、RBCs、FFP平均输注量分别为30±89 ml、0.16±0.81 U、10±89 ml,输血患儿围术期全血、RBCs、FFP平均输注量分别为(261±252)ml、(1.44±2.00)U、(86±252)ml,其中行手术的新生儿围术期全血、RBCs、FFP平均输注量分别为(36±88)ml、(0.33±0.95)U、(39±142)ml,行输血治疗新生儿围术期全血、RBCs、FFP平均输注量分别为(93±121)ml、(0.85±1.37)U、(98±214)ml。结论年龄是评估小儿手术围术期输血的重要指标;新生儿及婴幼儿临床用血应使用合理包装以防止浪费和用血过量。
Objective To provide a reference data for perioperative clinical blood and blood protection in pediatric surgery. Methods The data of perioperative blood supply data of patients in Huaxi Hospital for 12 years from 1996 to 2007 were collected. The data of perioperative whole blood, erythrocyte suspension, fresh frozen Plasma usage and trends. Results The average blood transfusion rate during perioperative period was 11.75% in 1996-2007. The rates of whole blood, RBCs and FFP transfusion were 46.40%, 32.91% and 19.94% respectively. The highest infusion rate was neonatal (39.23%), Perioperative perioperative whole blood, RBCs, FFP average infusion were 30 ± 89 ml, 0.16 ± 0.81 U, 10 ± 89 ml, blood transfusions perioperative blood, RBCs, FFP were (261 ± 252) ml, (1.44 ± 2.00) U and (86 ± 252) ml, respectively. The average perioperative blood volume of perioperative neonates was (36 ± 88) ml, (93 ± 121) ml, (0.85 ± 1.37) U, (98 ± 0.37) U, respectively. The average blood transfusion of RBCs and FFP was (0.13 ± 0.95) U and 214) ml. Conclusion Age is an important indicator to evaluate perioperative blood transfusion during pediatric surgery. Neonatal and infant clinical use of blood should be properly packaged to prevent wasted and overuse.