国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (4): 429-431.

• 综述 • 上一篇    下一篇

成分血的制备及其在妇产科的应用

王明芳，付建华   

  1. 037008 山西省大同市中心血站
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-08-15 发布日期:2015-08-15

Preparation of Blood Components and Their Applications and Infusion in Obstetrics and Gynecology

WANG Ming-fang，FU Jian-hua   

  1. Central Blood Bank of Datong，Datong 037008，Shanxi Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-08-15 Online:2015-08-15

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摘要： 自从1818年Blundell首次将人的血液输给严重出血的产妇以及1900年奥地利病理学家卡尔·兰德斯坦纳发现了人类第一个血型系统——红细胞ABO血型系统，至今已有100多年的历史。血液作为一种生命能源物质，在临床治疗和抢救中发挥着不可替代的作用。成分血由于其制剂容量小，浓度、纯度高，疗效好，使用安全，不良反应少，便于保存，使用方便，节约血液资源以及可以减少输血传播疾病的发生等优点，广泛应用于临床。妇产科患者出血发病急骤、病情发展变化快、并发症严重，为抢救母婴生命，输血治疗已成为必要的手段，常见于产后出血和弥漫性血管内凝血等。在成分血的输注过程中，工作人员熟练掌握各类成分血的特点，科学、合理地输注，是保证输血安全和有效的关键。

关键词: 血液成分输血, 血液成分制备法, 弥漫性血管内凝血, 产后出血

Abstract: There has been hundreds of years since 1818 when Blundell transfused blood to a parturient who was suffering severe bleeding and 1900 when an Austrian pathologist Karl Landsteiner found RBC ABO, the first human blood group system. As one of the life energy materials, blood plays an irreplaceable role in clinical treatment and rescue. Featuring small capacity preparations, high concentration and purity, good curative effect, safe application, less adverse reactions, easy to usage and save, saving blood resources, reducing the occurrence of transfusion transmitted diseases and so on, blood components have been widely used in the clinic. Because bleeding onset abrupt, diseases change quickly and serious complications in obstetrics and gynecology, transfusion therapy has become a necessary mean in postpartum hemorrhage and disseminated intravascular coagulation in order to save the lives of the mother and baby. It should be noted that in the course of blood component transfusion, it is the key of ensuring the safety and the effectiveness of blood transfusion to master the characteristics of various blood components and operate in a scientific and reasonable way.

Key words: Blood component transfusion, Blood component preparation, Disseminated intravascular coagulation, Postpartum hemorrhage