Objective To analyze the effectiveness of an improved massive transfusion protocol in patients with hemorrhagic shock.Methods 68 patients with hemorrhagic shock,who received blood from the Longyan Central Blood Station in Fujian Province from March 2022 to March 2024,were selected as study subjects.Based on the different transfusion methods,they were divided into the observation group(improved massive transfusion protocol)and the control group(conventional transfusion protocol),with 43 cases in each group.The timeliness of transfusion,transfusion-related complications,and patient outcomes were compared between the two groups.Results The observation group had significantly shorter times for blood type and routine blood test submission,emergency transfusion preparation,blood reservation decision,and emergency room stay compared to the control group(P<0.001).There was no significant difference in blood type reporting time between the two groups(P>0.05).The complication rate in the observation group was 4.65%,significantly lower than that(18.60%)in the control group,with a statistically significant difference(P<0.05).The surgery rate for patients with hemorrhagic shock in the observation group was 58.14%,significantly higher than that(9.30%)in the control group,with a significant difference(P<0.001).Conclusion The improved massive transfusion protocol can effectively enhance the time-liness of transfusion,reduce transfusion-related complications,and improve patient outcomes.
关键词
输血/休克,出血性/血型鉴定和交叉配血
Key words
blood transfusion/shock,hemorrhagic/blood grouping and crossmatching