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新鲜血、库存血、成分血的保存,适用范围。

问答题
2022-02-28 21:09
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新鲜血:基本保留了血液原有成分,适用于血液病病人,补充各种凝血因子和血小板。
库存血:在4℃冰箱内冷藏,保存2-3周。适用于各种原因引起的大出血。
成分血:⑴红细胞制品①浓缩红细胞:用于血容量正常而需补充红细胞的贫血病人,分离后应在24小时内使用。②洗涤红细胞:适用于贫血和一氧化碳中毒的病人。⑵白细胞浓缩悬液:4℃冰箱保存,48小时内有效,适用于粒细胞减少合并严重感染的病人。⑶血小板浓缩悬液:在ACD保养液中,22℃保存,24小时内有效,适用于血小板减少和血小板功能障碍性出血的病人。⑷血浆①新鲜血浆:适用于多种凝血因子缺乏的病人。如肝功能不全、DIC及大量输库存血后引起出血倾向的病人。②保存血浆:适用于低血容量和低血浆蛋白的病人。③冰冻血浆:-30℃保存,有效期一年,应用时在37℃温水中融化后立即输注,以免纤维蛋白析出。适用于维持血容量、补充血浆蛋白的病人。④冰冻干浆:用200ml生理盐水溶解后使用。

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