骨科与创伤治疗中的血液利用
Blood utilization in orthopedic and trauma practice.
作者信息
Tayara Bader Kamal, Al-Faraidy Moaad Hatim, Al-Sayel Faisal Abdullah, Al-Omran Abdallah S, Sadat-Ali Mir
机构信息
Department of Orthopaedic Surgery, College of Medicine, King Fahd Hospital of the University, Al Khobar, Saudi Arabia.
出版信息
Int J Appl Basic Med Res. 2015 May-Aug;5(2):111-3. doi: 10.4103/2229-516X.157156.
OBJECTIVES
Very little is known about blood utilization in orthopedic and trauma surgery and there is no definite policy in this regard. Our objective is to perform an audit on our practice of blood utilization in the orthopedic department.
METHODS
We have retrospectively analyzed the data of patients who were admitted between January 2011 and December 2012 to the orthopedic male, female and pediatric wards for which blood products were requested.
RESULTS
Three hundred and eight patients were admitted for surgery during the study period. The average age was 35.12 ± 20.4 years and postsurgery they stayed in the hospital for 25.60 ± 10.5 days. Blood products were requested for 223 trauma surgeries. In elective orthopedic procedures, only 42.78% of the blood requested was utilized while in trauma patients it was 55.25%.
CONCLUSIONS
A substantial amount of blood and its product was used in trauma and elective orthopedic surgeries. There was a major discrepancy between the blood requested and utilized and secondly in the majority single unit transfusion was utilized, which is not within the fundamentals of blood transfusion.
目的
关于骨科和创伤手术中的用血情况，我们了解得非常少，在这方面也没有明确的政策。我们的目的是对我们骨科的用血情况进行一次审核。
方法
我们回顾性分析了2011年1月至2012年12月期间入住骨科男性、女性和儿科病房且申请了血液制品的患者的数据。
结果
在研究期间，有308名患者入院接受手术。平均年龄为35.12±20.4岁，术后他们在医院停留了25.60±10.5天。223例创伤手术申请了血液制品。在择期骨科手术中，所申请血液的利用率仅为42.78%，而在创伤患者中为55.25%。
结论
大量的血液及其制品被用于创伤和择期骨科手术。所申请血液与实际使用血液之间存在很大差异，其次，大多数情况下使用的是单单位输血，这不符合输血的基本原则。
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