在非重大烧伤患者的输血
Ioana Țichil1, Ioana Codruta Rus2, Diana Cenariu3
1University of Medicine and Pharmacy "Iuliu Hatieganu" Cluj Napoca, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania; Emergency County Hospital, 3-5 Clinicilor Street, 400006 Cluj-Napoca, Romania; Department of Haematology "Ion Chiricuta" Institute of Oncology, 34-36 Republicii Street, Cluj-Napoca 400015, Romania.
Burns : journal of the International Society for Burn Injuries
|October 22, 2023
概括
患有非重大烧伤的患者的并发病增加了贫血和输血的风险. 了解这些风险因素可以改善患者护理,并指导输血决策.
科学领域:
- 烧伤管理 烧伤管理
- 血液学 血液学 血液学
- 输血药物 输血药物 输血药物
背景情况:
- 在烧伤患者中,贫血很常见,经常需要输血.
- 即使是轻微的烧伤 (<20%的总体表面积) 也可能导致需要输血的贫血.
- 了解输血风险因素对于改善因相关发病率和死亡率而导致的护理至关重要.
研究的目的:
- 确定非重大烧伤患者输血血液产品的风险因素.
- 评估输血实践及其对患者结果的影响.
- 告知临床决策,以更好地管理患者.
主要方法:
- 对182名没有严重烧伤的成年患者 (<20%的TBSA) 的回顾性分析.
- 收集了有关患者人口统计,烧伤特征,并发病 (查尔森指数) 和实验室值 (Hb) 的数据.
- 分析了包括输血,伤口感染和住院时间在内的结果.
主要成果:
- 37.9%的患者患有贫血;7.7%接受了输血.
- 输血患者年龄较大,TBSA烧伤率较高,并具有更大的并发症负担.
- 患有并发症的输血患者经历了更多的伤口感染和更长的住院时间.
结论:
- 患者的并发症是非重大烧伤中更高的输血率的重要预测因素.
- 由于输血风险,输血决策应与当前的指导方针和个体患者的需求保持一致.
- 根据风险因素定制输血策略可以优化烧伤患者的结果.
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