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Research on blood biochemical indexes in surgical patients with massive blood transfusion at Viet Duc hospital
Journal of Surgery ; : 11-17, 2007.
Artigo em Vietnamita | WPRIM | ID: wpr-315
ABSTRACT

Background:

Massive blood transfusion is common in surgery trauma, complicated surgery, organ implantation. Stored blood contains much lactate, ammonia, products of metabolism. These products have negative effects on patient\u2019s metabolic function which may be a cause of death.

Objective:

To study the change of blood biochemical indexes in surgical patients with massive blood transfusion at Viet Duc hospital. Subjects and

method:

A prospective study was conducted in the adult patients who had emergency and operation at Viet Duc hospital, from December/2004 to August/2006. All of them were transfused over 3000 ml of blood within 24 hours (pre-operation, intra-operation and post-operation).

Results:

During the period of study, there were 70 surgical patients with massive blood transfusion men were more than woman (64%) and the mean age 38\xb117. The survival rate was significantly improved (57%). The average transfused blood per patient per 24 hours was 3995ml\xb11067ml. There was a decrease in the value of pH, acid-base and HCO3 (the average pH value 7.218\xb10.181, lowest value 6.7). The average value of pH and HCO3\xac was higher in the survival patients than died patients (p<0.05). The mean level of K+ was 3.8\xb10.96mml/l. The increase in the level of K+ had a positive association with the amount of transfused blood. The mean level of Ca++ \xac\xacdecreased under the normal level (0.98mml).

Conclusion:

It should monitor blood gas and electrolytes continuously in surgical patients with massive blood transfusion in order to identify disorders soon for timely treatment.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Transfusão de Sangue Tipo de estudo: Estudo observacional Idioma: Vietnamita Revista: Journal of Surgery Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Transfusão de Sangue Tipo de estudo: Estudo observacional Idioma: Vietnamita Revista: Journal of Surgery Ano de publicação: 2007 Tipo de documento: Artigo