在住院的COVID-19患者中利用血液成分:来自专门的COVID-19中心的经验
Rahul Chaurasia1, Richa Aggarwal2, Sapna Chopra1
1Department of Transfusion Medicine, AIIMS, New Delhi, India.
Asian journal of transfusion science
|August 21, 2025
概括
在COVID-19患者中,血液成分的利用率较低,主要是那些患有并发症或需要重症护理的人. 红细胞是最常被输血的组成部分,而凝血病并不是需要输血的原因.
科学领域:
- 血液学
- 输血医学
- 传染性疾病
背景情况:
- COVID-19 大流行影响了输血服务.
- 关于COVID-19患者的输血需求的知识有限.
- 了解输血需求对于血液库存管理至关重要.
研究的目的:
- 分析住院COVID-19患者的血液成分利用情况.
- 评估接受输血的COVID-19患者的结果.
- 在流行病期间为血液库存管理策略提供信息.
主要方法:
- 对接受输血的COVID-19患者的回顾性分析.
- 包括患者的人口统计,临床状况,并发症和实验室参数.
- 从血液银行和患者记录中收集输血细节.
主要成果:
- 12.9% 的住院COVID-19患者 (395/3052) 接受了输血.
- 红细胞是最常见的输血成分 (11. 4%),其次是血小板和新鲜冷血.
- 患有并发症和需要重症监护或通风的患者需要更多的红细胞.
结论:
- 在COVID-19患者中,血液成分的利用率通常很低.
- 之前存在的并发症和急性护理需求是输血的主要驱动因素.
- 红细胞是输血的主要成分;凝血病不需要输血.
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