최근 5년간 성분수혈의 변화

Abstract

The immediate objective of most blood transfusion is to increase the oxygen-carrying capacity of the patient's circulation. Since this can be accomplished with the use of packed red cells alone, the common practice of transfusion of hole blood has been criticized as wasteful. The use of packed red cells allows the preparation of whole blood components, primarily platelets and fresh-frozen plasma, for those patients with specialized bleeding disorders and who do not necessarily need an increase in oxygen-carrying capacity. We observed the changes in component transfusion from 1983 through 1987. Total units of blood transfuse for 5 years were 83,213 units and the use of blood components increased from 17.8% to 51.1% from 1983 to 1987. Large annual increases in the use of packed red cells, fresh-frozen plasma and platelet concentrates occured during 5 years. The apheresis use for transfusion increase from 59 units to 3.8 units from 1985 to 1987.