首页|不同压力下快速输注去白红细胞对红细胞与血液质量的影响

不同压力下快速输注去白红细胞对红细胞与血液质量的影响

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目的 探讨不同压力下快速输注去白红细胞对红细胞与血液质量的影响。方法 纳入 2021 年 1 月至 2022 年12月选取血液库中的4袋400 mL去白红细胞,将每份平均分为4小袋,分别使用不同型号(18 G、20 G、22 G、24 G)针头并对各血袋使用不同压力(0 mmHg、100 mmHg、200 mmHg、300 mmHg)进行快速输注,对比不同型号针头于不同压力下输注的流速及对血液中红细胞计数(RBC)、血液质量的影响,并以 20 G针头为例,观察血液流经留置针前后红细胞形态异常情况。结果 同种输注压力下,随着针头型号的增加,血液流速不断降低,而使用同种型号针头情况下,随着输注压力的增加,血液流速不断升高,差异均统计学意义(P<0。05)。不同型号针头型号输注前后的RBC、血细胞比容(HCT)、血红蛋白(HGB)及血小板(PLT)相比,差异无统计学意义(P>0。05);不同压力下输注前后的RBC、HCT、HGB及PLT相比,差异无统计学意义(P>0。05)。血液流经 20 G针头后红细胞形态异常数明显增加,且随着输注压力的增加而增多,差异具有统计学意义(P<0。05)。结论 在快速输注去白红细胞过程中,输注压力的增加可有效提高输注速度,不会对红细胞与血液质量造成明显影响,但容易增加红细胞形态异常的发生风险。
Effect of rapid infusion of dewhite red blood cells under different pressures on red blood cells and blood quality
Objective To investigate the effect of rapid infusion of dewhite red blood cells under different pressure on red blood cells and blood quality.Methods Four bags of 400 mL white removed red blood cells were included in the selected blood bank from January 2021 to December 2022,and each bag was evenly divided into four small bags.Different types of needles(18 G,20 G,22 G,24 G)were used and different pressures(0 mmHg,100 mmHg,200 mmHg,300 mmHg)were applied to each blood bag for rapid infusion.The flow rate of different types of needles under different pressure and the influence on RBC count and blood quality were compared.The abnormal morphology of red blood cells before and after blood flow through the indwelling needle was observed with a 20 G needle as an example.Results Under the same infusion pressure,the blood flow rate decreased with the increase of needle type,while under the same infusion pressure,the blood flow rate increased with the increase of infusion pressure,and the differences were statistically significant(P<0.05).There were no significant differences in RBC,hematocrit(HCT),hemoglobin(HGB)and platelet(PLT)before and after infusion with different needle types(P>0.05).There was no significant difference in RBC,HCT,HGB and PLT before and after infusion under different pressure(P>0.05).The number of abnormal red cell morphology increased significantly after blood flow through 20 G needle,and with the increase of infusion pressure,the difference was statistically significant(P<0.05).Conclusion In the process of rapid transfusion of white red blood cells,the increase of infusion pressure can effectively improve the infusion speed,and has no obvious effect on red blood cells and blood quality,but easily increases the risk of abnormal red blood cell morphology.

dewhite red blood cellsrapid infusioninfusion pressurered blood cellsblood quality

李艳慧、秦强国、王志霞

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焦作市中心血站 献血办,河南 焦作 454000

焦作煤业集团中央医院 普通外科,河南 焦作 454000

去白红细胞 快速输注 输注压力 红细胞 血液质量

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
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