冷沉淀联合血小板其它血液成分在创伤大出血患者输血中应用效果
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景德镇市第二人民医院

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景德镇市科技计划项目(编号:20241SFZC036);


Application effect of cryoprecipitation combined with platelets and the other blood components in blood transfusion of patients with traumatic massive hemorrhage#
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    摘要:

    目的:探讨冷沉淀联合血小板其它血液成分在创伤大出血患者输血中应用效果。方法:选取本院2024年1月-2025年1月创伤大出血需输血治疗患者60例,随机数字表法分为三组,A组(n=20)采取其他血液成分输注,B组(n=20)采取冷沉淀联合其他血液成分输注,C组(n=20)采取冷沉淀联合血小板及其他血液成份输注。比较三组输注前、输注24h时凝血四项及血小板计数(PLT)水平,比较三组住院时间、止血时间和血液制品输注量。结果:与A组、B组相比,输注24h时C组FIB、PLT水平较高,TT、APTT、PT水平较低(P<0.05);与A组、B组相比,C组住院时间及止血时间均较短(P<0.05);三组红细胞输注量比较差异无统计学意义(P>0.05),C组冷沉淀输注量少于B组(P<0.05)。结论:冷沉淀联合血小板及其他血液成分联合输注对创伤大出血后需大量输血患者能有效改善凝血功能,缩短止血时间和住院时间。

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    Objective: To explore the application effect of cryoprecipitation combined with platelets and the other blood components in blood transfusion of patients with traumatic massive hemorrhage. Methods: A total of 60 patients with traumatic massive hemorrhage who needed blood transfusion in the hospital were enrolled between January 2024 and January 2025. According to random number table method, they were divided into group A (n=20, infusion of other blood components), group B (n=20, cryoprecipitation combined with infusion of other blood components) and group C (n=20, cryoprecipitation combined with platelet and the other blood components). The four blood coagulation indexes and platelet count (PLT) before and at 24h after infusion, length of hospital stay, hemostasis time and infusion volume of blood products were compared among the three groups. Results: Compared with groups A and B, FIB and PLT were higher, TT, APTT and PT were shorter in group C at 24h after infusion (P<0.05). Compared with groups A and B, length of hospital stay and hemostasis time were shorter in group C (P<0.05). There was no significant difference in infusion volume of red blood cells among the three groups (P>0.05), but infusion volume of cryoprecipitate in group C was less than that in group B (P<0.05). Conclusion: Cryoprecipitation combined with platelet and the other blood components infusion can effectively improve coagulation function, shorten hemostasis time and length of hospital stay in patients with traumatic massive hemorrhage.

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张羽平.冷沉淀联合血小板其它血液成分在创伤大出血患者输血中应用效果[J].四川生理科学杂志,2025,47(8):

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  • 收稿日期:2025-04-01
  • 最后修改日期:2025-04-25
  • 录用日期:2025-04-29
  • 在线发布日期: 2025-08-31
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