MASSIVE TRANSFUSION IN ADULTS - DIAGNOSES, SURVIVAL AND BLOOD-BANK SUPPORT

被引：27

作者：

SAWYER, PR ^{[1
]}

HARRISON, CR ^{[1
]}

机构：

[1] UNIV TEXAS,HLTH SCI CTR,DEPT PATHOL,7703 FLOYD CURL DR,SAN ANTONIO,TX 78284

来源：

VOX SANGUINIS | 1990年 / 58卷 / 03期

关键词：

D O I：

10.1111/j.1423-0410.1990.tb02090.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Abstract. In a retrospective study covering a 2‐year period (1986–1987), 125 patients received massive blood transfusion. Trauma accounted for only 29% of the cases. The larger nontrauma diagnostic categories were: gastrointestinal hemorrhage, 31%; cardiovascular surgery, 12%, and oncology cases, 9%. The overall survival rate was 60%; survival rates ranged from 38% for patients with hepatic failure to 100% for obstetric cases. Clinically important alloantibodies were present in 4%, and transfusion reactions occurred in 9%. Massive transfusions accounted for a significant proportion of total blood component usage: at least 12% of the yearly total red cell units, 20% of plasma, and 14% of platelets transfused. © 1990 S. Karger AG, Basel

引用

页码：199 / 203

页数：5

共 15 条

[1] RELATION BETWEEN RECURRENCE OF CANCER OF THE COLON AND BLOOD-TRANSFUSION [J].

BLUMBERG, N ;

AGARWAL, MM ;

CHUANG, C .

BRITISH MEDICAL JOURNAL, 1985, 290 (6474) :1037-1039

[2] DEVELOPMENT OF METABOLIC ALKALOSIS AFTER MASSIVE TRANSFUSION DURING ORTHOTOPIC LIVER-TRANSPLANTATION [J].

DRISCOLL, DF ;

BISTRIAN, BR ;

JENKINS, RL ;

RANDALL, S ;

DZIK, WH ;

GERSON, B ;

BLACKBURN, GL .

CRITICAL CARE MEDICINE, 1987, 15 (10) :905-908

[3] IMMUNOLOGICAL ABNORMALITIES IN PATIENTS RECEIVING MULTIPLE BLOOD-TRANSFUSIONS [J].

GASCON, P ;

ZOUMBOS, NC ;

YOUNG, NS .

ANNALS OF INTERNAL MEDICINE, 1984, 100 (02) :173-177

[4]

HARRIGAN C, 1985, SURGERY, V98, P836

[5] MASSIVE TRANSFUSION [J].

PATTERSON, A .

INTERNATIONAL ANESTHESIOLOGY CLINICS, 1987, 25 (01) :61-74

[6] CLINICAL PREDICTORS OF THE ADULT RESPIRATORY-DISTRESS SYNDROME [J].

PEPE, PE ;

POTKIN, RT ;

REUS, DH ;

HUDSON, LD ;

CARRICO, CJ .

AMERICAN JOURNAL OF SURGERY, 1982, 144 (01) :124-130

[7] OUTCOME OF MASSIVE TRANSFUSION EXCEEDING 2 BLOOD VOLUMES IN TRAUMA AND EMERGENCY-SURGERY [J].

PHILLIPS, TF ;

SOULIER, G ;

WILSON, RF .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1987, 27 (08) :903-910

[8] PROPHYLACTIC PLATELET ADMINISTRATION DURING MASSIVE TRANSFUSION - A PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND CLINICAL-STUDY [J].

REED, RL ;

CIAVARELLA, D ;

HEIMBACH, DM ;

BARON, L ;

PAVLIN, E ;

COUNTS, RB ;

CARRICO, CJ .

ANNALS OF SURGERY, 1986, 203 (01) :40-48

[9]

SNYDER EL, 1987, BLOOD TRANSFUSION TH, P69

[10] SPECIAL REPORT - TRANSFUSION RISKS [J].

WALKER, RH .

AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1987, 88 (03) :374-378

← 1 2 →