Dhiraj医院儿科患者输血综合分析

Ashu Dogra
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摘要

背景:对儿科患者的输血实践进行审计,以研究适应症、临床概况以及输血是否符合指南。目的:对输血实践进行审核,以研究儿科人群中不同血液成分的适当和不适当使用。结果:本研究发现62例红细胞输注中有35例(56.45%)输注不当。在55例FFP输注中,11例(20%)输注被认为是不适当的。不适当输血多有出血,但凝血指标正常。在血小板输注中,18例输注中有3例(16.6%)输注血小板不适宜,输注血小板主要是为了提高血小板计数。结论:儿科输血中最常见的血液成分是红细胞。不适当的血液成分输血阻碍了这一宝贵资源的利用,因此有必要对血液成分输血进行定期审计,以实现最佳利用。
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Comprehensive Analysis of Blood Transfusion in Paediatrics Patients admitted at Dhiraj Hospital
Back Ground:- Audit of transfusion practices in pediatric patients was performed to study indications ,clinical profile and whether transfusions were in accordance to guidelines.Objective:- to perform audit of transfusion practices , in order to study appropriate and inappropriate usageof different blood components in pediatric population.Results:- In present study it was observed that out of 62 packed red cells transfusions 35(56.45%) transfusionswere found to be inappropriate. Among FFP transfusions out of 55 transfusions 11(20%) transfusions wereobserved as inappropriate . Most of inappropriate transfusions had bleeds but normal coagulogram.Among Platelet transfusions , three (16.6%) platelet transfusions, out of 18 transfusions were inappropriateand transfused mainly to raise the platelet count.Conclusion:-Most frequently transfused blood components are red cells in pediatrics . Inappropriatetransfusion of blood components hinders the utility of this valuable resource , Thus it becomes necessary toconduct regular audit of blood component transfusion for optimum utilization.
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