A massive transfusion protocol for the abdominal surgical patients with traumatic shock
10.3760/cma.j.issn.1007-631X.2014.09.016
- VernacularTitle:大量输血程序对腹部外科创伤性休克患者的应用价值探讨
- Author:
Junhao LAI
;
Chong ZHANG
;
Bin HU
;
Jun YAN
;
Xiaowei FAN
;
Liuqing YANG
;
Jinhui ZHANG
- Publication Type:Journal Article
- Keywords:
Abdominal injuries;
Shock,traumatic;
Blood transfusion
- From:
Chinese Journal of General Surgery
2014;29(9):715-718
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of the massive transfusion protocols (MTP) in abdominal surgical patients with traumatic shock.Methods An analysis was made on the clinical data of patients before and after the use of MTP,including the general condition,amount of blood transfusion,transfusion components and ratio,blood and coagulation function test,and blood transfusion related complications and mortality.Results Before implement of MTP,the average RBC transfusion in the first 24 hours was 19.5U,FFBwas 12.6U,and the ratio ofRBC ∶ FFB was 1.55 ∶ 1.After implement of MTP,the average RBC transfusion in the first 24 hours was 17.3 U,and the ratio of RBC:FFB was 1 ∶ 1.There were no significant statistical differences between the two groups about PT,APTT,Hb and PLT on admission.After 24 hours of admission,there was no significant difference in Hb between the two groups,there were significant differences of PT,APTT and PLT.Blood transfusion related complications were 11 (14.9％) in control group and 7 (11.9％) in MTP,group,and the mortality was 9.46％ and 6.78％ respectively.Conclusions MTP improves blood coagulation function,reduces blood transfusion and enhances survival rate of abdominal surgical patients with traumatic shock.
