【摘要】 目的 探讨血小板及冷沉淀在抢救大失血中的作用与优越性。方法 依据病情，成人首次4～6u，重者给予8u。8～12h后减量50%，维持3～4天，每周2～3次，至出血停止，同时观察临床症状及实验室各相关指标。结果 输入血小板后出血时间缩短，创口愈合快；输血反应轻微；各凝血因子增加。结论 血小板输注与冷沉淀在抢救大失血中效果好，不良反应轻，值得广泛推广应用。

    【关键词】 内科学；成分输血；血小板及冷沉淀制剂

    【Abstract】 Objective To explore the action and the superiority of thrombocyte and cryoprecipiation in rescue major blood loss.Methods 4～6 units were used for adults for the first time based on the patients' condition,8units for the severe,and 50% reduction 8～12 hours later.This dose could persist over 3 to 4 days,twice or three times per week,until the end of hemorrhage.The clinical symptom and laboratory tests were observed at the same time.Results Infusion of thrombocyte could shorten the bleeding time,quicken the cure of wound,remit transfusion reaction,increase blood coagulation factors.Conclusion Thrombocyte and cryopercipiation perform excellently in major blood loss with minor side reaction.

    【Key words】 internal medicine；component transfusion；thrombocyte and cryopercipiation

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