수혈 요법 (Transfusion therapy)

소개글

수혈 요법에 대한 발표 PPT입니다.
출혈 시 수혈과, 그 밖에 수혈에 관련된 혈액제제에 대한 내용이나 테스트 방법 등 기본적인 내용들도 전반적으로 담았습니다.
설명이 필요한 슬라이드에는 노트에 설명을 넣었습니다.

목차

Indication for Transfusion
-Goals of Transfusion
-Indication
Compatibility Testing
-ABO Compatibility Testing
-Crossmatching
-Antibody Screening
-Emergency Transfusion
Complications
-Immune Complications
-Infectious Complications
-Massive Blood Transfusion
Blood Component Therapy
-Packed Red Blood Cells
-Platelet Concentrates
-Fresh Frozen Plasma
-Cryoprecipitate
-Prothrombin Complex
-Single-Donor Plasma
-Albumin and Plasma Protein Preparations

본문내용

Goals of Transfusion
Improvement of oxygen transport
Adequate intravascular volume
Providing of coagulation factors
? Increasing oxygen-carrying capacity is the only real indication for blood transfusions.

American College of Surgeons` Classes of Acute Hemorrhage
Inadequate intravascular volume ?
or
Diminished oxygen-carrying capacity ?

1988 National Institutes of Health
Healthy patients with a Hct >30%
Rarely require perioperative transfusions
Acute anemia of Hct <21%
Frequently require blood transfusions
Chronic anemia (as in renal failure) might tolerate a Hb <7?g/dL.

Hb >10 g/dL ? Transfusion is rarely indicated
Hb <6 g/dL ? Almost always indicated
Hb 6-10 g/dL ? Based on the patient`s risk
The use of a single Hb is not recommended.
Physiologic and surgical factors
Pre-op autologous blood donation

참고 자료

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