冷沉淀在结核性脓胸手术中的的应用冷沉淀在结核性脓胸手术中的的应用.docVIP

冷沉淀在结核性脓胸手术中的应用 鲁玉桂1 蔡小林2 李红玉 （兰州市肺科医院胸外科 甘肃 兰州 730046） Cryoprecipitate used in the operation of tuberculous empyema. Lu Yugui Yang Bin Li hongyu ( Department of thoracic surgery, Lanzhou Hospital of Gansu Lanzhou 730046 ) 新!为您提供类似表述，查看示例用法： 【摘要】目的 探讨结核性脓胸患者术后应用冷沉淀的效果。 方法　选用结核性脓胸手术患者 例随机分为治疗组（20例）和对照组（18例），治疗组和对照组术后均输注红细胞悬液、新鲜冰冻血浆，个别患者输注血小板，治疗组在此基础上同时输注冷沉淀5～15u，对照组未输注冷沉淀。结果 对照组PT、aPTT、Fbg与基础值相比，有极显著差异，P＜0.01。与治疗组相比，有显著差异，P＜0.05。Hb及BPC计数基础值与对照组、对照组与治疗组均无明显变化（P0.05）。红细胞悬液、血浆、血小板的输注量及出血总量明显减少，其差异具有统计学意义，P＜0.05。结论 冷沉淀作为一种成分血，对患者止渗血及术后伤口愈合、控制感染等方面起到了重要的作用。临床医生在运用时,要正确掌握手术患者出血的输血指征, 充足、科学、合理、适时地补充血液成分, 不但能挽救病人的生命，而且可以减少输血不良反应、提高输血疗效，降低输血并发症、节约血源，对促进外科手术学发展具有重要的临床意义。 【关键词】冷沉淀；脓胸术后；应用 [ Abstract ] Objective To investigate patients with tuberculous empyema after cold precipitation effect. Methods the tuberculosis patients with empyema operation were randomly divided into the treatment group ( 20 cases) and control group ( 18 cases), the treatment group and the control group in all patients after infusion of red blood cell suspension, fresh frozen plasma, individual patients with platelet transfusion, the treatment group at the same time on the basis of cryoprecipitate from 5 to 15u, the control group was not cryoprecipitate. Results compared to control group PT, aPTT, Fbg and basic value, there is significant difference, P 0.01. Compared with the treatment group, there are significant differences, P 0.05. Hb and BPC count value with the control group, the control group and the treatment group had no significant changes ( P0.05 ). Suspension plasma, red blood cell platelet transfusion and bleeding volume decreased significantly, the difference was significant, P 0.05. Conclusion cold precipitation as a blood component, to stop bleeding in patients on postoperative wound healing, infection control plays an important role in. Clinicians when in use, must grasp of hemorrhage in patients with blood transfusion operation indication, sufficient, scientific, reas