心脏和肺脏移植中的输血需求和血库支持。
Transfusion Requirements and Blood Bank Support in Heart and Lung Transplantation.
机构信息
Department of Laboratory Medicine and Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea.
Department of Laboratory Medicine, Pusan National University Hospital, Pusan, Korea.
出版信息
Lab Med. 2021 Jan 4;52(1):74-79. doi: 10.1093/labmed/lmaa044.
OBJECTIVE
Transplantations may require massive transfusion of blood products. Therefore, blood banks need to predict, prepare, and supply the required amount of blood products.
METHODS
We measured the volume of transfused blood components as red blood cells, fresh frozen plasma, platelets, and cryoprecipitate in 54 and 89 patients who received heart and lung transplantation, respectively, in our hospital between January 2012 and December 2019.
RESULTS
Platelets were the most frequently transfused blood component. Transfusion volumes during heart and lung transplantation surgeries differed: red blood cells, 7.83 units vs 14.84 units; fresh frozen plasma, 2.67 units vs 12.29 units; platelets, 13.13 units vs 23.63 units; and cryoprecipitate, 1.74 units vs 2.57 units; respectively. The average transfusion volume of transplants was different each year.
CONCLUSION
Periodic evaluation of transfusion requirements will facilitate the efficient management of blood products at the time of transplantation and help blood banks predict changes in blood requirements.
目的
移植手术可能需要大量输注血液制品。因此，血库需要预测、准备并供应所需数量的血液制品。
方法
我们测量了 2012 年 1 月至 2019 年 12 月期间在我院接受心肺移植的 54 例和 89 例患者分别输注的红细胞、新鲜冷冻血浆、血小板和冷沉淀的量。
结果
血小板是最常输注的血液成分。心肺移植手术中的输血量不同：红细胞 7.83 单位比 14.84 单位；新鲜冷冻血浆 2.67 单位比 12.29 单位；血小板 13.13 单位比 23.63 单位；冷沉淀 1.74 单位比 2.57 单位。每年的移植平均输血量不同。
结论
定期评估输血需求将有助于在移植时有效管理血液制品，并帮助血库预测血液需求的变化。
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