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目的 观察输血对乳腺癌患者术后感染的影响。方法 选择 3 11例乳腺癌手术患者进行临床观察 ,其中 10 9例患者术中输注浓缩红细胞 ,112例输注去白细胞浓缩红细胞 ,90例未输血 ,对三组患者术后感染率进行比较。结果 浓缩红细胞输血组术后感染率为 5 .5 0 % ,去白细胞浓缩红细胞输血组术后感染率为 0 .89% ,与浓缩红细胞输血组比较差异有显著性 (P <0 .0 1) ,未输血组患者术后感染率为 1.11% ,与浓缩红细胞输血组比较差异有显著性 (P <0 .0 1) ,而与去白细胞浓缩红细胞输血组比较差异无显著性 (P >0 .0 5 )。结论 乳腺癌患者术中输注浓缩红细胞较输注去白细胞浓缩红细胞患者及未输血患者术后感染率高 ,且术后感染率与浓缩红细胞输注量密切相关。
Objective To observe the effect of blood transfusion on postoperative infection in breast cancer patients. Methods A total of 311 patients with breast cancer were selected for clinical observation. Among them, 109 patients received intraoperative infusion of concentrated red blood cells, 112 transfused leukocyte-enriched erythrocytes, and 90 non-transfused patients. The postoperative infection rates of the three groups were compared. Results The infection rate was 5.05% in the RBC transfusion group and 0.89% in the leukocyte RBC transfusion group, which was significantly different from that in the RBC transfusion group (P <0.01) . The postoperative infection rate in patients without blood transfusion was 1.11%, which was significantly different from that of the RBC transfusion group (P <0.01), but not significantly different from that of the leukocyte-depleted RBC transfusion group (P> 0.05). 0 5). CONCLUSION: The postoperative infection rate of intraoperative infusion of packed red blood cells in patients with breast cancer is higher than that in patients with transfused leukocytes and non-transfused patients, and the postoperative infection rate is closely related to the volume of RBC transfusions.