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日本某产科中心产科出血输血管理的回顾性分析。

A retrospective analysis of transfusion management for obstetric hemorrhage in a Japanese obstetric center.

作者信息

Matsunaga Shigetaka, Seki Hiroyuki, Ono Yoshihisa, Matsumura Hideyoshi, Murayama Yoshihiko, Takai Yasushi, Saito Masahiro, Takeda Satoru, Maeda Hiroo

机构信息

Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan.

出版信息

ISRN Obstet Gynecol. 2012;2012:854064. doi: 10.5402/2012/854064. Epub 2012 Feb 6.

DOI:10.5402/2012/854064
PMID:22462007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3302117/
Abstract

Background. Since cryoprecipitate, fibrinogen concentrate, or recombinant activated factor VII is not approved by public medical insurance in Japan, we retrospectively assessed blood product usage in patients with obstetric hemorrhage at our tertiary obstetric center. Material and Methods. 220 patients with obstetric hemorrhagic disorders who underwent blood product transfusion in our institution during a 5-year period were reviewed for the types and volumes of blood products transfused. Results. There was a significant positive correlation (P< 0.001) between the volume of RCC (red blood cell concentrate) transfused and that of FFP (fresh frozen plasma), irrespective of underlying obstetric disorders. The median of FFP to RCC ratio in each patient was 1.3-1.4, when 6 or more units of RCC were transfused. Conclusions. In transfusion for massive obstetric hemorrhage in terms of appropriate supplementation of coagulation factors, the transfusion of RCC : FFP = 1 : 1.3-1.4 may be desirable.

摘要

背景。由于冷沉淀、纤维蛋白原浓缩物或重组活化凝血因子VII在日本未被公共医疗保险批准，我们对我们的三级产科中心产科出血患者的血液制品使用情况进行了回顾性评估。材料与方法。回顾了在5年期间在我们机构接受血液制品输血的220例产科出血性疾病患者所输注的血液制品类型和数量。结果。无论潜在的产科疾病如何，输注的红细胞浓缩液（RCC）量与新鲜冰冻血浆（FFP）量之间存在显著正相关（P<0.001）。当输注6个或更多单位的RCC时，每位患者FFP与RCC的中位数比例为1.3 - 1.4。结论。在产科大出血输血时，就适当补充凝血因子而言，RCC:FFP = 1:1.3 - 1.4的输血比例可能是理想的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/5b15ecf2a463/ISRN.OBGYN2012-854064.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/ea0a43b8caff/ISRN.OBGYN2012-854064.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/76269807bdd8/ISRN.OBGYN2012-854064.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/11c525c4df06/ISRN.OBGYN2012-854064.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/5b15ecf2a463/ISRN.OBGYN2012-854064.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/ea0a43b8caff/ISRN.OBGYN2012-854064.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/76269807bdd8/ISRN.OBGYN2012-854064.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/11c525c4df06/ISRN.OBGYN2012-854064.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb41/3302117/5b15ecf2a463/ISRN.OBGYN2012-854064.004.jpg

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3
Blood component therapy in postpartum hemorrhage.产后出血的血液成分治疗。
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4
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Obstet Gynecol Sci. 2019 Sep;62(5):299-306. doi: 10.5468/ogs.2019.62.5.299. Epub 2019 Jul 23.
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6
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J Obstet Gynaecol India. 2018 Jun;68(3):204-207. doi: 10.1007/s13224-018-1092-x. Epub 2018 Feb 16.
7
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J Clin Diagn Res. 2015 Nov;9(11):QC01-3. doi: 10.7860/JCDR/2015/12299.6782. Epub 2015 Nov 1.
Transfusion. 2009 Nov;49(11):2430-3. doi: 10.1111/j.1537-2995.2009.02318.x. Epub 2009 Jul 16.
4
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