简介: 【摘要】 目的:探讨常规凝血检验项目对异位妊娠大出血输血治疗不良反应监测的价值。方法:选取 2017年 2月 -2019年 12月笔者所在医院的 100例异位妊娠大出血输血患者,根据患者有无输血不良反应分为观察组和对照组,每组 50例,无不良反应的为观察组,有不良反应的为对照组,分析两组患者的凝血功能指标和血常规指標。结果:观察组患者凝血酶时间( 15.31±1.42) s,活化部分凝血活酶时间( 26.43±1.42) s,纤维蛋白原水平( 1.35±1.12) g/L,凝血酶原时间( 11.36±2.67) s,均低于对照组患者,而 PLT、 HCT、 RBC、 Hb水平均高于对照组患者,差异均有统计学意义( P<0.05)。结论:常规凝血检验项目可对异位妊娠大出血输血治疗不良反应有效监测。 【关键词】 常规凝血检验项目; 异位妊娠大出血输血; 不良反应 [Abstract] Objective: To explore the value of routine coagulation test in monitoring the adverse reactions in the treatment of massive hemorrhage of ectopic pregnancy. Methods: from February 2017 to December 2019, 100 patients with massive hemorrhage of ectopic pregnancy in our hospital were divided into observation group and control group according to whether they had adverse reactions of blood transfusion. 50 patients in each group were divided into observation group and control group according to whether they had adverse reactions of blood transfusion. Coagulation function indexes and Blood Routine Indexes of the two groups were analyzed. Results: thrombin time (15.31 ± 1.42) s, activated partial thromboplastin time (26.43 ± 1.42) s, fibrinogen level (1.35 ± 1.12) g / L, prothrombin time (11.36 ± 2.67) s in the observation group were lower than those in the control group, while PLT, HCT, RBC, Hb levels were higher than those in the control group (P < 0.05). Conclusion: the routine coagulation test can effectively monitor the adverse reactions in the treatment of ectopic pregnancy massive hemorrhage with blood transfusion.
简介:摘要:目的:分析异位妊娠大出血输血治疗期间常规凝血检验项目对不良反应监测的价值。方法:回顾性分析2018年1月至2022年12月我院收治的23例异位妊娠大出血输血治疗患者,收集其常规凝血检验数据,并分析其与输血不良反应之间的关系。结果:23例患者中,出现输血不良反应的患者共3例(13.04%)。这3例患者均有凝血酶原时间(PT)和部分凝血活酶时间(APTT)延长,血小板计数降低等凝血功能异常。而未出现输血不良反应的患者中,只有1例(4.17%)存在凝血功能异常。统计分析显示,输血不良反应与PT、APTT、血小板计数存在显著相关性(P