Blood management strategy for massive transfusion patients in frigid plateau region
10.13303/j.cjbt.issn.1004-549x.2025.02.018
- VernacularTitle:高原高寒地区大量输血患者血液管理策略
- Author:
Haiying WANG
1
;
Jinjin ZHANG
1
;
Lili CHEN
1
;
Xiaoli SUN
1
;
Cui WEI
1
;
Yongli HUANG
1
;
Yingchun ZHU
1
;
Chong CHEN
1
;
Yanchao XING
1
Author Information
1. Department of Blood Transfusion, Xinjiang Military General Hospital, Urumqi 830002, China
- Publication Type:Journal Article
- Keywords:
the frigid plateau region;
massive transfusion;
patient blood management (PBM)
- From:
Chinese Journal of Blood Transfusion
2025;38(2):268-273
- CountryChina
- Language:Chinese
-
Abstract:
[Objective] To explore the strategy of blood management in patients with massive transfusion in the frigid plateau region. [Methods] The treatment process of a patient with liver rupture in the frigid plateau region was analyzed, and the blood management strategy of the frigid plateau region was discussed in combination with the difficulties of blood transfusion and literature review. [Results] The preoperative complete blood count (CBC) test results of the patient were as follows: RBC 3.14×1012/L, Hb 106 g/L, HCT 30.40%, PLT 115.00×109/L; coagulation function: PT 18.9 s, FiB 1.31 g/L, DD > 6 μg/mL, FDP 25.86 μg/mL; ultrasound examination and imaging manifestations suggested liver contusion and laceration / intraparenchymal hematoma, splenic contusion and laceration, and massive blood accumulation in the abdominal cavity; it was estimated that the patient's blood loss was ≥ 2 000 mL, and massive blood transfusion was required during the operation; red blood cell components were timely transfused during the operation, and the blood component transfusion was guided according to the patient's CBC and coagulation function test results, providing strong support and guarantee for the successful treatment of the patient. The patient recovered well after the operation, and the CBC test results were as follows: RBC 4.32×1012/L, Hb 144 g/L, HCT 39.50%, PLT 329.00×109/L; coagulation function: APTT 29.3 s, PT 12.1 s, FiB 2.728 g/L, DD>6 μg/mL, FDP 25.86 μg/mL. The patient was discharged after 20 days, and regular follow-up reexamination showed no abnormal results. [Conclusion] Individualized blood management strategy should comprehensively consider the patient’s clinical symptoms, the degree of hemoglobin decline, dynamic coagulation test results and existing treatment conditions. Efficient and reasonable patient blood management strategies can effectively improve the clinical outcomes of massive transfusion patients in the frigid plateau region.
