输注红细胞治疗多发性骨折的疗效分析

目的观察多发性骨折患者输注红细胞（RBC）的效果。方法对40例多发性骨折患者输注红细胞前后RBC、红细胞比容（HCT）、血红蛋白（Hb）值的变化情况进行比较分析。将伴有感染、发热及大量渗出的20例患者定为A组；不伴有感染、发热及大量渗出的20例患者定为B组。结果两组多发性骨折患者输注红细胞后RBC、HCT、Hb指标上升有统计学意义（P〈0．05），B组红细胞输注效果好于A组。结论多发性骨折患者应及时纠正休克，控制感染及发热，减少渗出，避免因大量或多次输血影响免疫系统，可提高红细胞输注的有效性。

Curative Effect Analysis on Infusing Red - Cell for Multiple Fracture Treatment

Objective The curative effect for multiple fracture patient infusing red -cell （RBC） Methods Analyzing and comparing the value of red - cell （RBC） , red - cell specific volume （ HCT）, hemoglobin change of 40 multiple fracture patients before and after infusing red - cell. 20 patients accompanying infection, fever and massive exudation are classified group A, 20 patients without these symptom are classified group B. Results The index rises of RBC, HCT, Hb shows the statistics significance （P 〈 0. 05 ） when the patients of the two groups infuse red - cell. The effect in group B is better than group A. Conclusion The multiple fracture patients should correct shock in time, control infection and fever, reduce exudation and avoid immune system affecting caused by massive or repeated blood transfusion to improve the validity of red -cell infusing.