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출혈성 쇼크 환자에서 비교차시험 O+형 혈액 수혈의 유용성

DC Field Value Language
dc.contributor.author이지환-
dc.contributor.author정성필-
dc.contributor.author조준호-
dc.contributor.author좌민홍-
dc.date.accessioned2020-08-14T03:15:04Z-
dc.date.available2020-08-14T03:15:04Z-
dc.date.issued2009-12-
dc.identifier.issn1738-8767-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/178648-
dc.description.abstractPurpose: It is important to begin a transfusion safely and appropriately as soon as possible in a hemorrhagic shock patient. A group O+ unmatched pack red blood cell (universal O+) transfusion may satisfy that requirement. We report our experiences with universal O+ to compare its usefulness for hemorrhagic shock patients with that of a matched pack red blood cell transfusion in the emergency department (ED). Methods: This is a retrospective study. Patients who had systolic blood pressure of less than 90 mmHg or a pulse rate of more than 120 beats per minute in the ED were included, and their medical records were reviewed. The collected data were demographic data, vital signs, blood test results, time to transfusion, the amount of transfusion, complications, and diagnoses. We calculated the emergency transfusion score (ETS) based on the patients’ medical records. Results: Two hundred thirty-five patients were included. Forty-eight patients (36 trauma and 12 non-trauma patients) were transfused with a universal O+. These patients had less time to transfusion compared with the cross-matched transfusion groups (35±42 versus 170±187 minutes, p<0.001). There were no differences in complications between groups (p=0.076). Of the patients who were transfused with universal O+, 94.4% got more than 3 ETS. Conclusion: The universal O+ transfusion, compared with matched pack red blood cell transfusion, should be a useful treatment for ED hemorrhagic shock patient due to its having a shorter time to transfusion without an increase in complications.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한외상학회-
dc.relation.isPartOfJournal of the Korean Association Traumatology (대한외상학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title출혈성 쇼크 환자에서 비교차시험 O+형 혈액 수혈의 유용성-
dc.title.alternativeValidity of Transfusing Group O+ Unmatched Packed Red Blood Cells in Hemorrhagic Shock Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.googleauthor이지환-
dc.contributor.googleauthor좌민홍-
dc.contributor.googleauthor조준호-
dc.contributor.googleauthor정성필-
dc.contributor.localIdA05746-
dc.contributor.localIdA03625-
dc.contributor.localIdA03911-
dc.contributor.localIdA03947-
dc.relation.journalcodeJ01809-
dc.identifier.eissn2287-1683-
dc.subject.keywordHypovolemia-
dc.subject.keywordShock-
dc.subject.keywordWound and injuries-
dc.subject.keywordBlood transfusion-
dc.subject.keywordABO blood-group system-
dc.contributor.alternativeNameLee, Ji Hwan-
dc.contributor.affiliatedAuthor이지환-
dc.contributor.affiliatedAuthor정성필-
dc.contributor.affiliatedAuthor조준호-
dc.contributor.affiliatedAuthor좌민홍-
dc.citation.volume22-
dc.citation.number2-
dc.citation.startPage167-
dc.citation.endPage171-
dc.identifier.bibliographicCitationJournal of the Korean Association Traumatology (대한외상학회지), Vol.22(2) : 167-171, 2009-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers

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