哈尔滨医科大学附属第二医院：《危重病医学》心血管类_输血（讲义）

输血 TRANSFUSI口N MEDICINE blood transfusion SIMTI ONLI UROPEAN NETWORK SIMTI SERV

输 血 blood transfusion

2输血量应该等于出血量 输血能够补充营养、增加机体抵抗力 2血越新鲜的越好

输血能够补充营养、增加机体抵抗力 输血量应该等于出血量 血越新鲜的越好；

本次课的主要内容 ※输血的临床应用 (clinical applications of transfusion) 成分输血( blood component therapy) ※输血并发症( complications of transfusion) 自体输血( autotransfusion)

本次课的主要内容 ※输血的临床应用(clinical applications of transfusion) 成分输血(blood component therapy) ※输血并发症(complications of transfusion ) 自体输血(autotransfusion)

History of Transfusion 1 t 1665 First transfusion(dog to dog t 1667 Dennis-first human transfusion (lambs blood tt 1818 Blundell- first human transfusion with human blood t 1900 Landsteiner -discovered ABo blood groups t 1907 Ottenberg-introduced pretransfusion compatibility testing t 1914 Hustin -introduced citrate as anticoagulant t 1915 Weil -introduced refigerated storage of citrated blood t 1936 Blood banks introduced t 1940 Landsteiner& Wiener -discovered Rh system t 1941 Strumia Mc Graw- Plasma transfusions t 1943 Loutit Mollison -introduced ACD solution as preservative

History of Transfusion 1 1665 First transfusion (dog to dog) 1667 Dennis - first human transfusion (lamb’s blood) 1818 Blundell - first human transfusion with human blood 1900 Landsteiner - discovered ABO blood groups 1907 Ottenberg - introduced pretransfusion compatibility testing 1914 Hustin - introduced citrate as anticoagulant 1915 Weil - introduced refrgerated storage of citrated blood 1936 "Blood banks" introduced 1940 Landsteiner & Wiener - discovered Rh system 1941 Strumia & McGraw - Plasma transfusions 1943 Loutit & Mollison - introduced ACD solution as preservative

History of Transfusion 2 Post world war此: #t Expansion of Blood Bank network Ht Use of plastic tubing& bags for storage tt Development of blood component therapy tt Testing of blood for infectious agents 其 autotransfus|on 粗放型 安全节约型

History of Transfusion 2 Post World War II: Expansion of Blood Bank network Use of plastic tubing & bags for storage Development of blood component therapy Testing of blood for infectious agents autotransfusion 粗放型 安全-节约型

其输全血—成分输血 其替补输血—治疗性输血 其人的血源性制品 生物技术制品; 其异体输血 →自体输血

输全血 成分输血； 替补输血 治疗性输血； 人的血源性制品 生物技术制品； 异体输血 自体输血

第一节输血的临床应用 ※(一)适应证 1、创伤和失血 2、贫血或低蛋白血症 3、严重感染 4、凝血功能障碍

第一节 输血的临床应用 4、凝血功能障碍 ※ （一）适应证 1、创伤和失血 2、贫血或低蛋白血症 3、严重感染

ASA提出的输血指南 其Hb100g/L不必输血 其Hb60~100g/L根据患者情况: 心血管功能、年龄、动脉血氧合 凊况、混合静脉血氧分压、心排 出量和血容量以及外科因素 Blood Drop

ASA提出的输血指南 Hb 100 g/L 不必输血 Hb 60~100 g/L 根据患者情况： 心血管功能、年龄、动脉血氧合 情况、混合静脉血氧分压、心排 出量和血容量以及外科因素