产科大量输血补液策略

被引:12
作者
于成华
宋薇薇
机构
[1] 中国医科大学附属盛京医院妇产科
关键词
产后出血; 大量输血;
D O I
暂无
中图分类号
R714.461 [];
学科分类号
100211 ;
摘要
产后出血始终是危及产妇生命安危的主要原因,故而产科的输血补液策略至关重要。在扩充血容量及维持渗透压后,提高血液携氧能力及改善止血功能是大量输血的目的。产科大量输血策略提倡限制性液体复苏,及时补充红细胞,早期足量使用血浆,预防性输注血小板,补充纤维蛋白原及冷沉淀,一些止血药物也可作为备用策略使用。注意预防大量输血相关并发症。
引用
收藏
页码:274 / 276
页数:3
相关论文
共 10 条
[1]  
妇产科学[M]. 人民卫生出版社 , 谢幸主编, 2001
[2]  
Postpartum hemorrhage and low fibrinogen levels: the past, present and future[J] . A.J. Butwick.International Journal of Obstetric Anesthesia . 2013 (2)
[3]  
An Observational Study of the Fresh Frozen Plasma: Red Blood Cell Ratio in Postpartum Hemorrhage[J] . Pierre Pasquier,Etienne Gayat,Thibaut Rackelboom,Julien La Rosa,Abeer Tashkandi,Antoine Tesniere,Julie Ravinet,Jean-Louis Vincent,Vassilis Tsatsaris,Yves Ozier,Fran?ois Goffinet,Alexandre Mignon.Anesthesia & Analgesia . 2013 (1)
[4]  
Postpartum hemorrhage: When uterotonics and sutures fail[J] . Andra H.James,ClaireMcLintock,EvelynLockhart.Am. J. Hematol. . 2012 (S1)
[5]   Fluid and blood transfusion management in obstetrics [J].
Ickx, Brigitte E. .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (12) :1031-1035
[6]  
Treatment of massive bleeding with prothrombin complex concentrate: argument for[J] . K. A.TANAKA,F.SZLAM.Journal of Thrombosis and Haemostasis . 2010 (12)
[7]  
Results of the CONTROL Trial: Efficacy and Safety of Recombinant Activated Factor VII in the Management of Refractory Traumatic Hemorrhage[J] . Carl J. Hauser,Kenneth Boffard,Richard Dutton,Gordon R. Bernard,Martin A. Croce,John B. Holcomb,Ari Leppaniemi,Michael Parr,Jean-Louis Vincent,Bartholomew J. Tortella,Jeannett Dimsits,Bertil Bouillon.The Journal of Trauma: Injury, Infection, and Critical Care . 2010 (3)
[8]  
Controversy in Trauma Resuscitation: Do Ratios of Plasma to Red Blood Cells Matter?[J] . Lynn G. Stansbury,Richard P. Dutton,Deborah M. Stein,Grant V. Bochicchio,Thomas M. Scalea,John R. Hess.Transfusion Medicine Reviews . 2009 (4)
[9]   The decrease of fibrinogen is an early predictor of the severity of postpartum hemorrhage [J].
Charbit, B. ;
Mandelbrot, L. ;
Samain, E. ;
Baron, G. ;
Haddaoui, B. ;
Keita, H. ;
Sibony, O. ;
Mahieu-Caputo, D. ;
Hurtaud-Roux, M. F. ;
Huisse, M. G. ;
Denninger, M. H. ;
De Prost, D. .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2007, 5 (02) :266-273
[10]  
Rapid reversal of oral anticoagulation with warfarin by a prothrombin complex concentrate (Beriplex): efficacy and safety in 42 patients[J] . F. E.Preston,S. T.Laidlaw,B.Sampson,S.Kitchen.British Journal of Haematology . 2002 (3)