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目的：研究休克患者输血后出现的病情变化与再灌注综合征的关系。方法：回顾性总结分析１９９３年１月～１９９７年１月我院收治的１８例非失血性休克患者输血前后临床表现比较。结果：１８例患者均发生病情突然恶化，其中６６７％（１２／１８）发生在输血４～２４ｈ内，１３例死亡，５例恢复正常。结论：休克患者输血后病情恶化可能与缺血再灌注损伤有关。提出对非失血性休克患者输血应持慎重态度，若必须输血，则应在休克早期进行，同时注意预防再灌注损伤。
Objective: To study the relationship between the changes of bloodstream and the reperfusion syndrome after blood transfusion in shock patients. Methods: The clinical manifestations of 18 patients with non-hemorrhagic shock treated in our hospital from January 1993 to January 1997 were retrospectively analyzed. Results: All of the 18 patients experienced sudden deterioration. Among them, 66.7% (12/18) occurred within 4 ~ 24h of blood transfusion, 13 died and 5 returned to normal. Conclusion: The worsening of blood transfusion in shock patients may be related to ischemia-reperfusion injury. Proposed non-hemorrhagic shock in patients with blood transfusion should hold a cautious attitude, if the need for blood transfusion, it should be carried out in the early shock, while paying attention to prevent reperfusion injury.