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表 1 2011年与2012年北京协和医院用血量比较
时间 RBC(U) RBC
(U)FFP
(ml)自体血 胸外科 肝脏外科 妇产科 泌尿外科 心外科 例 总量(ml) 人均量(ml) 2011年 417 444 907 203 342 4043 370 500 340 178 413 525 2012年 131 260 755 194 330 3411 335 500 439 123 632 282 变化(%) -68.6 -41.4 -6.8 -4.4 -3.5 -15.63 -9.40 +29.12 -30.70 -46.36 RBC:红细胞;FFP:新鲜冰冻血浆 表 2 序贯器官衰竭评估评分
系统 检测项目 SOFA评分 0 1 2 3 4 呼吸 PaO2/FiO2(kPa) >53.33 40~53.33 26.67~40 13.33~26.67且 <13.33且 呼吸支持(是/否) 是 是 凝血 血小板(109/L) >150 101~150 51~100 21~50 <20 肝脏 胆红素(μmol/L) <20 20~32 33~101 102~204 >204 循环 平均动脉压(mm Hg) ≥70 多巴胺剂量[μg/(kg·min)] ≤5或 >5或 >15或 肾上腺素剂量[μg/(kg·min)] ≤0.1或 >0.1或 去甲肾上腺素剂量[μg/(kg·min)] ≤0.1 >0.1 多巴酚丁胺(是/否) 是 神经 GCS评分 15 13~14 10~12 6~9 <6 肾脏 肌酐(μmol/L) <110 110~170 171~299 300~440 >440 24 h尿量(ml/24h) 201~500 <200 SOFA:序贯器官衰竭评估;PaO2/FiO2:氧合指数;GCS评分:格拉斯哥昏迷评分 -
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