Improvement of high dose blood transfusion procedure and its application in the treatment of patients with traumatic hemorrhagic shock
10.3761/j.issn.0254-1769.2023.21.006
- VernacularTitle:大剂量输血程序改进及在失血性休克患者中的应用
- Author:
Youya DING
1
;
Yuwei WANG
;
Danping YAN
;
Sa WANG
Author Information
1. 310009 杭州市 浙江大学医学院附属第二医院急诊抢救室
- Keywords:
Transfusion;
Wound;
Traumatic Hemorrhagic Shock;
Emergency;
Nursing Care
- From:
Chinese Journal of Nursing
2023;58(21):2604-2609
- CountryChina
- Language:Chinese
-
Abstract:
Objective In order to improve the"high-dose blood transfusion procedure",shorten the preparation time for blood transfusion in patients with clinical traumatic hemorrhagic shock,and improve the outcome of patients.Methods Patients with emergency traumatic hemorrhagic shock from January to December 2021 were selected as the study subjects.Patients who received improved high-dose transfusion procedures from July to December were selected as the experimental group,and patients who received conventional transfusion procedures from January to June were selected as the control group.The timeliness indexes and outcome indexes of the 2 groups were compared.Results The delivery time for blood type and routine examination was shortened from 15 min to 8 min(U=143.50,P=0.024);transfusion preparation time was shortened from 31 min to 19 min(U=126.50,P=0.026);the time for decision-making blood preparation was shortened from 44 min to 18 min(U=152.50,P=0.007);emergency stay time was shortened from 135 min to 114 min(U=91.50,P=0.036);the outcome distribution of patients(x2=10.64,P=0.031)was improved.Conclusion The improved high-dose blood transfusion procedure can significantly shorten the blood transfusion preparation time for patients with traumatic hemorrhagic shock and improve the treatment rate of patients.
