安全输血 合理输血 孙福廷
description
Transcript of 安全输血 合理输血 孙福廷
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---HLA
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---2000mLHCTALT ---
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20062259766.44%24.65%97.97%61.29%;91.54%51.85%98.86%100%;50.22%19.86%89.58%42.86%;""""47.05%51.17%. , .2008213
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20071200712120875.5%33.8%100%100%;91.1%49.9% 100%;49.4%20.1%100%;32.4%33.2%. .2009203
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60g/L0.2 2ml/kg.h1ml/kg.h210g/L0.03
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50109/L 10-50109/L , 5109/L CCI CCI=-1011(M2)/(1011) CCI10
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ABO
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67.7%16.8%HLA80%HPA17%HLA+HPA3%15%
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CCI
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FFP 10~15ml/kgFFP
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FP)
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3710242415ml/kg3060ml/kg
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(WRC)
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0.5109/L24h
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810ABORhDHLA
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1957%
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15200mLFC 80IUVWF60IUFI1200-3000mgF80IUFN60mg
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vWD
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37F50%F30%F1215 IU/kg121/2
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ABO 37
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70g/L0.22
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Hb HbHCT)Hb60g/LHct0.18
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100g/L 70g/L 70~100g/L
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100109/L 50109//L 50~100109//L
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50109/L50109/L
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FFPPTAPTT1.5FFP:5~8mL/Kg
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30% ;
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30%
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24h3h24h2000mL HCt
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10~302000mL3~41
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---24h100%48h14%
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---Hb35 3432 40%100%37 35
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------12337%15%5%1.550109/L2.5---25%50%FFPDICAHF
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---BTPTAPTTDICBrohi200346.0%10.9% P0.001Como20047340~4UPTINR0.6%24310UINR1.5Plt30%INR 1.55%
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50%---10CPDA23-DPG23-3-24h
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500 ml10% 1000ml20% ,
1500ml30% ,
2000ml40%
2500ml50%
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20% ---
20%-40%
50% +1-2u 10-20u
80% +10-20u/kg 3-4u 30-40u
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ORHABABO100mL/min)37
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HLAPCR-SSPPRAHLA---ELISA
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HLAABDR
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2010.9.15