1900ABO70%50%

1.11 31011/L1250ml3000ml23PC 2235VIIIVIX-2014

90% 99%42.89% 39.96%11.96% 4.69%0.5%29.26% 40.77%28.09% 1.88%

98%29.26% 40.77%28.09% 1.88%95%95%,,,,

3.11. 26400HLA150

80%95%

3.23.2.1. ATPK

3.2.2. ACD21 CPD-A35

ACDCPDACDCPD35PH23-DPGATP

3.2.322+23.2.483.2.5VIII2450%V3550%3.2.6

3.33.3.13.3.23.3.3

3.3.4,99.99%

3.43.4.13.4.2,123.4.383.4.4

3.53.5.1 4723.5.210HTLV-I/II,0-574%6-1044%11-140%3.5.3 143.5.4

3.6 3ACD7CPD3.6.1 CPD4 47CPD3ACD23DPG99%CPD41

1 CPD4 0 7 14 21 28 100 98 85 80 75 PH 7.2 7.0 6.9 6.8 6.8 ATP 100 96 83 86 752,3-DPG 100 99 80 44 35 3.9 11.9 17.2 21 22.5 168 166 163 156 154 Hb 1.7 7.8 12.5 19.1 28.9NH3 165.3 176.2 262.5 293.6 414.0

3.73.7.13.7.2

3.7.3200-400ml/1017

6010

600ml

3.8

95% 20%-30%60%()3-4

4.14.1.1.MAPHCT60%21354.1.295%99.9%,,IgAIgA25-35HBV

4.1.399%4.1.3.1 1HLA2CMV34564.1.4601500-3000rad

4.1.5 -801037NaCl244.1.644.92910%-50%

5488

5.1 5.1.1. CMVEBTHTLV-1/2HBVHCVHIV5.1.2. Bodey5.1.3.G-CSF

66.1.1.2.41010/,25-30ml/(200ml)6.1.2. ,,2.5-31011/,200ml,,6.1.3

6.1.4.HLA 6.2.6.2.16.2.2DIC6.2.3

6.36.3.150109/L

6.450-70109/L6.5 =XX2.5 M2=1+[Kg+cm160] /100 2.5M2 / L

6.6CC16.6.1CC1=[-M2]1011 1011 /L1-CC110 CC1=[50109 /L-20109 /L1.7]31011 =51109 31011 =17

6.6.2%=-/LL2/3 2/31/3160%2440%%=[50109 /L-20109 /L4.83L] 31011 2/3 =144.5109 /L31011 =0.73=kg69 / 65 70 kg69

6.7HLA6.86.8.11/330%3u/10Kg

6.8.2 3u/10Kg6.8.3DIC3-4u/10Kg6.8.4

6.96.9.1.223-5 6.9.26.9.3

7.7.14-6307.2NIH7.2.1 .

7.2.2.7.2.3.IIVIIIXXIIVIIIXX2.57.2.4. 7.2.5. III7.2.6.

7.312-15ml/Kg7.42550100125200250ml8200ml400ml500-4IVIIIVIIIIbGPIbVIIIvWF

IIII8.1/400mlVIII FVIIIC 80Iu vWF >60IuF VIII ( FI ) 200-300mg ( FXII ) >80Iu ( FN ) >60mg

8.2 8.2.18.2.2DIC8.2.3FNFNFNFNDIC8.2.4 .

FN

8.3. FVIII50%FVIII30% FVIII128-121/2

8.4 VIII /Kg /Kg 1 15 10 10 1-21 25 10 10 1-2 25 10 10 25 25 15 10 35 25 15 10 >15 25 15 10 35 30 20 810 35 30 20 810 510 50 25 810 35 50 25 810 1015

99.19.1.19.1.1.1HbHb

129.2.1 15g/L

9.2.2 9.2.3 7

9.2.4

9.2.5 100g/LHCT0.27Hb130g/LHCT>0.3510-20ml/Kg1-2u1-2ml/min1-1.51-4

9.2.6 O1u/95%99%AB

9.2.7 9.2.8

9.2.9GVHD

9.3

9.3.120%DIC

9.3.29.3.2.1 Hb

9.3.9.3.1 2/323-Hb9.3.23-DPGO223-DPGO2O2

9.3.2 HCT60%4-623-DPGATGVHD

9.4.9.4.1. 4-53-49.4.2.

9.4.3. 1109/L0.1-0.5109/L25%9.4.4. 20109/L10109/L92%

9.4.5. 9.4.5.1

2-4u/9.4.5.3 T

9.4.5.4

5.4.1 5.4.2

4 =[WtVHb-Hb]HbWtKg V0.07L/ Kg0.085L/ KgHb24g20060KgHb60g/LHb100g/L

=[600.07100-60]24=7200724Hb

9.5=[WtVHb-Hb]Hb100% >80% >50-79% 20-50%

9.7GVHDGVHD,417-22RhRh6-82

T

9.8 GVHD9.8.19.8.29.8.3HLARabHLADaaRab/DaaTAGVHD

1218219.8. 4TAGVHDTAGVHDDNA

104-105/TA-GVHD

10.10.1 10.1.1

10.1.2

10.1.311000ml20%HCT32-35%21321000-2000ml20-40%11000-2000ml4-8310.5

340%5%3000ml1000ml400ml4-81000ml

10.210.2.1HCT(ml)=HCT-HCTHCT7%10.2.210.2.2.1

10.2.2.2 =0.7ml/kg/h7ml/kg/h HCT30-35%HCT

10.3 10.3.175kg11250109/L80109/L60109/L4-58-103-43-5

10.3.260109/L

10.3.314IgG0.4-0.5 ml /kg3-5IgG

10.3.4 4IgG4

10.3.5DICDICDICVVIII3P10.3.65-8PL-A1PL-A1PL-A1PL-A1

1111.1 11.1. 1 600ml 11.1.2 40%40%1/3

11.2 11.2.1.(1):(2)12(3)24(4),(5)38(6)30%11.2.2 100ml3.8%15ml50mg

11.3 11.3.1 Hb70g/ L11.3.2 2uRcc3100g/ L

11.4 HCT 11.4. 1. 21.3/14.6kpa++ ~+++>35%11.4. 2. AT-III

11.5DIC11.5.1.11.5.2.311.5.3.DICDICDICDICDIC

11.6DICDICIIIDIC

11.6.1

4.2DIC

1212.112.1.1 5.0-7.01012/L Hb 150-220g/LHb 10g/L2-3Hb110g/L12.1.2. 20109 /L10109/L6~612.1.3.

12.1.4. 85ml/kg108ml/kg75-150ml100ml50%1090%12.1.5. 4126 ml/kg89ml/lkgHCT48%64%Hb

12.212.2.1. 15%12.2.2. 5%310.510-20ml/kg/0.5-1.5ml/min245-10ml/kg/0.25-0.75 ml/min5ml/kg /(dl)= [Hb(g)Hb(g)]0.9Kg100mlHb(g):38g12g100ml20g12-80.90.320=0.54(dl)

12.2.330-32310/5/20-30ml10-25ml//

12.312.3.1. 12.3.1.1OAB25-35

12.3.1.2 IC3b95%500-100012.3.1.3 T12.3.2 ITPITP

12.3.2.1 100109/L 50109/L 20109/L 12.3.2.22-312.3.2.32-3/12.3.2.4 10109/L0.032/Kg/ 0.028/Kg/Rh12.3.2.5 200ml2.41010/ 31011/(15-16)

12.3.3. K12.3.3.1

VIII

u/100ml u/kg() 15-2020-408-1410-25

80 35-50

VIII12VIII4-5122-3

12.3.4. 12.3.4.1 12.3.4.2 10-25ml/kg/12.3.4.3 10-20/12.3.5. 1g13-14ml1812.3.5.1 5%10-25ml/kg/12.3.5.2 5%10-20/12.3.5.3(1) (2) 20-25%(3) 0.011%

12.3.6. 12.3.6.1 (1)(2)(3)(4)RhODRhODIgG(5)

12.3.6.2 IgG2-4g/L100mg/kg0.6mg/kg3-40.02-0.1ml/kg;0.06ml/kg250-500Iu;500-1000Iu;0.05-0.2ml/;20Iu;Rho(D)Rho(D)300ug ;1ml/;(ITP) 0.05g/200ml2,5

12.3.6.3 300.01-0.02ml/Kg,,0.02-0.04 ml/Kg,30,50-100mg,