在入院时严重的低血与增加的输血需求有关:一级创伤中心的一项回顾性研究
Grégoire Liaud-Laval1, Nicolas Libert2, Matthieu Pissot1
1Federation of anesthesiology, intensive care unit, burns and operating theater. Percy Military Training Hospital, Clamart, France.
Injury
|November 5, 2023
概括
严重的低血症在创伤患者中很常见,并且与更高的24小时输血需求有关. 这一发现强调了在严重创伤病例中监测电离水平的重要性.
科学领域:
- 创伤重症监护中心的重症监护中心.
- 紧急医疗 紧急医疗
- 代谢过程中的代谢.
背景情况:
- 低血症越来越多地被认为是创伤护理中的"致命钻石"的一部分.
- 创伤患者中低血的确切作用和影响仍在调查中.
研究的目的:
- 评估入院时严重低血症与严重创伤患者在24小时内需要输血之间的关联.
- 在创伤环境中调查入院的电离水平与输血需求之间的相关性.
主要方法:
- 进行了一项追溯观察性研究,涉及137名成人创伤患者,需要在入院后24小时内输血.
- 严重的低血症被定义为有离子 (iCa) ≤0.9 mmol/L.
- 数据是从2015年1月到2021年5月在一级创伤中心收集的.
主要成果:
- 与没有严重低血症的患者相比,严重低血症患者 (n=23) 的严重性得分 (SAPSII和ISS) 更高.
- 严重的低血症与所有类型的血液制品的24小时输血需求显著增加有关.
- 在入院iCa和24小时输血量之间观察到显著的负相关性 (r = -0.45,p < 0.001).
结论:
- 在重度创伤患者中,严重的低血常见.
- 入院低血症与在入院后的前24小时内增加的血液产品输血需求密切相关.
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