CN104834818A - Method and system for automatically acquiring blood transfusion volume - Google Patents
Method and system for automatically acquiring blood transfusion volume Download PDFInfo
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Abstract
The invention relates to the field of medical treatment, in particular to a method and system for automatically acquiring a blood transfusion volume. The method comprises the steps of collecting data of a body weight Wt and amount of bleeding Vb, then acquiring a current hemoglobin value HbA of a patient and a hemoglobin expected target value HbE after blood transfusion, and finally calculating red cell transfusion amount Vt1 supposed to be transfused, wherein data to be used comprise blood volume per kilogram C, infused blood hemoglobin average concentration HbT, hemoglobin expected target value HbE after blood transfusion, and current hemoglobin value HbA of the patient. The method and system have the beneficial effects that the unnecessary blood transfusion can be reduced, blood transfusion amount can be reasonably arranged, blood transfusion sequela and risk of disease infection are reduced and medical safety of a blood receiver is ensured.
Description
Technical field
The present invention relates to medical field, particularly relate to a kind of method and system of automatic acquisition transfusion volume.
Background technology
Transfuse blood with defeated homotype blood as principle, by blood by venoclysis to a kind of methods for the treatment of of patient, it is modern clinic medical treatment important necessary means, be widely used, blood transfusion also has certain risk, can cause bad transfusion reaction and the propagation of some diseases, meanwhile, China also faces the situation of blood supply anxiety for a long time; The theory of modern blood transfusion is advocate " science, rationally use blood ", reduce non-essential blood transfusion, reduce the risk of patient except self-disease to greatest extent, ensure the medical safety of receptor, but the transfusion volume neither one of receptor reasonably calculates standard at present, how to be estimated by doctor, cause the unreasonable of transfusion volume unavoidably, receptor can bring larger risk.
Summary of the invention
For the problems referred to above that receptor exists in transfusion procedure, now provide a kind of method and system of automatic acquisition transfusion volume, make by blood volume more reasonable, the safety of receptor in transfusion procedure.
Concrete technical scheme is as follows:
A method for automatic acquisition transfusion volume, wherein, comprises the following steps:
Step 1, gathers the data of body weight Wt and amount of bleeding Vb,
Step 2, haemoglobin expectation target value HbE after obtaining the current Hemoglobin Value HbA of patient and obtaining blood transfusion;
Step 3, answer red cells transfusion transfusion volume Vt1 according to following formulae discovery:
Vt1=C/HbT* (HbE-HbA) * Wt, wherein,
C is per kilogram blood volume, and unit is ml/kg;
HbT is infused blood haemoglobin mean concentration, and unit is g/l;
HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l;
HbA is the current Hemoglobin Value of patient, and unit is g/l;
Wt is weight in patients, and unit is kg;
Vt1 unit is ml.
The method of above-mentioned automatic acquisition transfusion volume, wherein,
After described step 3, answer red cells transfusion suspension amount Vt2 by following formulae discovery, Vt2=5*Vt1*10
-3, Vt2 units is U.
The method of above-mentioned automatic acquisition transfusion volume, wherein, the current Hemoglobin Value of patient described in described step 2 HbA comprises hemorrhage rear Hemoglobin Value HbA1 and the rear Hemoglobin Value HbA2 of blood transfusion.
The method of above-mentioned automatic acquisition transfusion volume, wherein, according to rear Hemoglobin Value HbA1 hemorrhage described in following formulae discovery,
HbA1=[1-Vb/ (C*Wt)] * HbX, wherein,
Vb is patient's bleeding amount, and unit is ml;
C is per kilogram blood volume, and unit is ml/kg;
HbX is hemorrhage front detection Hemoglobin Value, and unit is g/l;
HbA1 unit is g/l.
The method of above-mentioned automatic acquisition transfusion volume, wherein, according to Hemoglobin Value HbA2 after blood transfusion described in following formulae discovery,
HbA2=HbX+HbT*Vt1/ (C*Wt); Or,
HbA2＝HbX+HbT*Vt2/(C*Wt)；
HbA2 unit is g/l.
The method of above-mentioned automatic acquisition transfusion volume, wherein,
The described red cells transfusion blood volume Vt1 that answers calculates by whole blood red blood cell;
Described units U is whole blood red blood cell described in every unit 200ml.
The method of above-mentioned automatic acquisition transfusion volume, wherein,
The described red cells transfusion suspension amount Vt2 that answers is for whole blood red blood cell described in every unit 200ml.
A system for automatic acquisition transfusion volume, wherein, comprises
Data acquisition module, for gathering the data of weight in patients Wt and amount of bleeding Vb;
Memory module, is connected with described data acquisition module, for storing the constant information of described image data and per kilogram blood volume value C and blood-hemoglobin mean concentration HbT;
Read module, is connected with described memory module, for reading the information in described memory module
Load module, is connected with described read module, for inputting the rear haemoglobin expectation target value HbE of blood transfusion and the hemorrhage front information detecting Hemoglobin Value HbX;
Computing module, is connected with load module, for according to the respective value in described memory module and described load module, calculates and answers red cells transfusion transfusion volume Vt1:
Vt1＝C/HbT*(HbE-HbA)*Wt，
C is per kilogram blood volume, and unit is ml/kg;
HbT is infused blood haemoglobin mean concentration, and unit is g/l;
HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l;
HbA is the current Hemoglobin Value of patient, and unit is g/l;
Wt is weight in patients, and unit is kg;
Vt1 unit is ml; Or
Red cells transfusion suspension amount Vt2 is answered in calculating,
Vt2＝5*Vt1*10
-3，
Vt2 units is U.
The system of above-mentioned automatic acquisition transfusion volume, wherein, described computing module according to the hemorrhage rear Hemoglobin Value HbA1 of following formulae discovery,
HbA1=[1-Vb/ (C*Wt)] * HbX, wherein,
Vb is patient's bleeding amount, and unit is ml;
C is per kilogram blood volume, and unit is ml/kg;
HbX is hemorrhage front detection Hemoglobin Value, and unit is g/l;
HbA1 unit is g/l.
The system of above-mentioned automatic acquisition transfusion volume, wherein, described computing module according to Hemoglobin Value HbA2 after the blood transfusion of following formulae discovery,
HbA2=HbX+HbT*Vt1/ (C*Wt); Or,
HbA2＝HbX+HbT*Vt2/(C*Wt)；
HbA2 unit is g/l.
The invention has the beneficial effects as follows, non-essential blood transfusion can be reduced, reasonable arrangement transfusion volume, reduce the risk of blood transfusion sequelae and disease propagation, ensure the medical safety of receptor.
Accompanying drawing explanation
Fig. 1 is a kind of embodiment of the method and system of a kind of automatic acquisition of the present invention transfusion volume;
Embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, be clearly and completely described the technical scheme in the embodiment of the present invention, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, the every other embodiment that those of ordinary skill in the art obtain under the prerequisite of not making creative work, all belongs to the scope of protection of the invention.
It should be noted that, when not conflicting, the embodiment in the present invention and the feature in embodiment can combine mutually.
Below in conjunction with the drawings and specific embodiments, the invention will be further described, but not as limiting to the invention.
As shown in Figure 1,
A method for automatic acquisition transfusion volume, comprises the following steps:
Step 1, gathers the data of body weight (Wt) and amount of bleeding (Vb);
Step 2, haemoglobin expectation target value (HbE) after obtaining the current Hemoglobin Value of patient (HbA) and obtaining blood transfusion;
Step 3, answer red cells transfusion transfusion volume (Vt1) according to following formulae discovery:
Vt1=C/HbT* (HbE-HbA) * Wt, Vt1 unit is ml.Wherein,
C is per kilogram blood volume, and unit is ml/kg;
HbT is infused blood haemoglobin mean concentration, and unit is g/l;
HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l;
HbA is the current Hemoglobin Value of patient, and unit is g/l;
Wt is weight in patients, and unit is kg.
The present invention is the basic data of body weight (Wt) by first gathering patient and amount of bleeding (Vb), after obtaining the current actual Hemoglobin Value (HbA) of patient and blood transfusion further after haemoglobin expectation target value (HbE), blood in conjunction with per kilogram holds usual amounts (HbT) value of usual amounts (C) and infused blood haemoglobin mean concentration, according to Vt1=C/HbT* (HbE-HbA) * Wt, finally determine the value of answering red cells transfusion transfusion volume (Vt1), and then answer transfusion volume by the accurate acquisition patient of science, reduce and estimate and the waste that causes or potential safety hazard because thinking, treatment is made to obtain better effects.
On technique scheme basis, further, after acquisition patient answers the value of red cells transfusion transfusion volume (Vt1), can obtain the value of answering red cells transfusion suspension amount (Vt2), concrete acquisition foundation is Vt2=5*Vt1*10
-3, Vt2 units is U.Transfusion volume adopts the mode of two kinds of unit values to represent, is convenient to do not converting between commensurate, facilitates the use of medical personnel.
On technique scheme basis, further, after the current Hemoglobin Value of patient (HbA) comprises hemorrhage rear Hemoglobin Value (HbA1) and blood transfusion, Hemoglobin Value (HbA2) two kinds of modes represent.These two kinds of modes respectively illustrate the haemoglobin situation of different time node, are convenient to the situation that medical personnel grasp patient, process in time.
Further, foundation patient's bleeding amount (Vb) unit is ml, per kilogram blood volume value (C) unit is ml/kg and detect the individual data value that Hemoglobin Value (HbX) unit is g/l before patient's bleeding, Hemoglobin Value (HbA1) after acquisition patient's bleeding; Foundation is HbA1=[1-Vb/ (C*Wt)] * HbX, HbA1 unit is g/l.This value is a kind of state after reaction patient's bleeding, and it has directly reacted the conditions of patients order of severity and patient's next applicable treatment means adopted.
Further, answering the value of red cells transfusion transfusion volume (Vt1) or answering the value of red cells transfusion suspension amount (Vt2) according to above-mentioned acquisition, Hemoglobin Value (HbA2) after obtaining transfusing blood in conjunction with the usual amounts (HbT) detecting Hemoglobin Value (HbX) and constant infused blood haemoglobin mean concentration before patient's bleeding, according to being HbA2=HbX+HbT*Vt1/ (C*Wt); Or, HbA2=HbX+HbT*Vt2/ (C*Wt); Wherein, HbA2 unit is g/l.This value can detect the situation after each concrete patients with transfusion, is convenient to medical personnel and grasps treatment situation to patient in time.
On technique scheme basis, further, above-mentioned red cells transfusion blood volume (Vt1) of answering calculates by whole blood red blood cell;
Units U is every unit 200ml whole blood red blood cell.
On technique scheme basis, further, above-mentioned red cells transfusion suspension amount (Vt2) of answering is for every unit 200ml whole blood red blood cell.
A system for automatic acquisition transfusion volume,
Adopt a kind of system of automatic acquisition transfusion volume in order to obtain the method for above-mentioned automatic acquisition transfusion volume, specifically comprise: data acquisition module, memory module, read module, load module, computing module, wherein, data acquisition module is for gathering the data of weight in patients (Wt) and amount of bleeding (Vb); Memory module is connected with data acquisition module, for the constant information of storage of collected data and per kilogram blood volume value (C) and blood-hemoglobin mean concentration (HbT); Read module is connected with memory module, for reading the information in memory module; Load module is connected with read module, for inputting the rear haemoglobin expectation target value (HbE) of blood transfusion and the hemorrhage front information detecting Hemoglobin Value (HbX); Computing module is connected with load module, and for the respective value in foundation memory module and load module, final acquisition answers red cells transfusion transfusion volume (Vt1): obtaining according to being Vt1=C/HbT* (HbE-HbA) * Wt, Vt1 unit is ml; Wherein, C is per kilogram blood volume, and unit is ml/kg; HbT is infused blood haemoglobin mean concentration, and unit is g/l; HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l; HbA is the current Hemoglobin Value of patient, and unit is g/l; Wt is weight in patients, and unit is kg;
Or obtain and answer red cells transfusion suspension amount (Vt2), obtaining foundation is Vt2=5*Vt1*10
-3, Vt2 units is U.
This system completes the transfusion volume of automatic acquisition patient, decreases human error, improves efficiency.
On technique scheme basis, further, hemorrhage rear Hemoglobin Value (HbA1) is obtained under above-mentioned computing module, foundation is HbA1=[1-Vb/ (C*Wt)] * HbX, HbA1 unit is g/l, and wherein, Vb is patient's bleeding amount, unit is ml, and the acquisition of this numerical value is conducive to the process of medical personnel.
On technique scheme basis, further, under above-mentioned computing module, obtain the rear Hemoglobin Value (HbA2) of blood transfusion, HbA2 unit is g/l, and foundation is HbA2=HbX+HbT*Vt1/ (C*Wt); Or HbA2=HbX+HbT*Vt2/ (C*Wt), HbA2 unit is g/l, and the acquisition of this numerical value is conducive to the grasp of medical personnel to treatment situation, is convenient to the timely adjustment of medical measure.
The foregoing is only preferred embodiment of the present invention; not thereby embodiments of the present invention and protection domain is limited; to those skilled in the art; should recognize and all should be included in the scheme that equivalent replacement done by all utilizations instructions of the present invention and diagramatic content and apparent change obtain in protection scope of the present invention.
Claims (10)
1. a method for automatic acquisition transfusion volume, is characterized in that, comprises the following steps:
Step 1, gathers the data of body weight Wt and amount of bleeding Vb,
Step 2, haemoglobin expectation target value HbE after obtaining the current Hemoglobin Value HbA of patient and obtaining blood transfusion;
Step 3, answer red cells transfusion transfusion volume Vt1 according to following formulae discovery:
Vt1=C/HbT* (HbE-HbA) * Wt, wherein,
C is per kilogram blood volume, and unit is ml/kg;
HbT is infused blood haemoglobin mean concentration, and unit is g/l;
HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l;
HbA is the current Hemoglobin Value of patient, and unit is g/l;
Wt is weight in patients, and unit is kg;
Vt1 unit is ml.
2. the method for automatic acquisition transfusion volume as claimed in claim 1, is characterized in that,
After described step 3, answer red cells transfusion suspension amount Vt2 by following formulae discovery, Vt2=5*Vt1*10
-3, Vt2 units is U.
3. the method for automatic acquisition transfusion volume as claimed in claim 1, is characterized in that,
The current Hemoglobin Value of patient described in described step 2 HbA comprises hemorrhage rear Hemoglobin Value HbA1 and the rear Hemoglobin Value HbA2 of blood transfusion.
4. the method for automatic acquisition transfusion volume as claimed in claim 3, is characterized in that, according to rear Hemoglobin Value HbA1 hemorrhage described in following formulae discovery,
HbA1=[1-Vb/ (C*Wt)] * HbX, wherein,
Vb is patient's bleeding amount, and unit is ml;
C is per kilogram blood volume, and unit is ml/kg;
HbX is hemorrhage front detection Hemoglobin Value, and unit is g/l;
HbA1 unit is g/l.
5. the method for automatic acquisition transfusion volume as claimed in claim 3, is characterized in that, according to Hemoglobin Value HbA2 after blood transfusion described in following formulae discovery,
HbA2=HbX+HbT*Vt1/ (C*Wt); Or,
HbA2＝HbX+HbT*Vt2/(C*Wt)；
HbA2 unit is g/l.
6. the method for automatic acquisition transfusion volume as claimed in claim 1, is characterized in that, described in answer red cells transfusion blood volume Vt1 to calculate by whole blood red blood cell;
Described units U is whole blood red blood cell described in every unit 200ml.
7. the method for automatic acquisition transfusion volume as claimed in claim 2, is characterized in that, described in answer red cells transfusion suspension amount Vt2 for whole blood red blood cell described in every unit 200ml.
8. a system for automatic acquisition transfusion volume, is characterized in that, comprises
Data acquisition module, for gathering the data of weight in patients Wt and amount of bleeding Vb;
Memory module, is connected with described data acquisition module, for storing the constant information of described image data and per kilogram blood volume value C and blood-hemoglobin mean concentration HbT;
Read module, is connected with described memory module, for reading the information in described memory module;
Load module, is connected with described read module, for inputting the rear haemoglobin expectation target value HbE of blood transfusion and the hemorrhage front information detecting Hemoglobin Value HbX;
Computing module, is connected with load module, for according to the respective value in described memory module and described load module, calculates and answers red cells transfusion transfusion volume Vt1:
Vt1＝C/HbT*(HbE-HbA)*Wt，
C is per kilogram blood volume, and unit is ml/kg;
HbT is infused blood haemoglobin mean concentration, and unit is g/l;
HbE is haemoglobin expectation target value after blood transfusion, and unit is g/l;
HbA is the current Hemoglobin Value of patient, and unit is g/l;
Wt is weight in patients, and unit is kg;
Vt1 unit is ml; Or
Red cells transfusion suspension amount Vt2 is answered in calculating,
Vt2＝5*Vt1*10
-3，
Vt2 units is U.
9., as the system of the automatic acquisition transfusion volume of claim 8 majority, it is characterized in that, described computing module according to the hemorrhage rear Hemoglobin Value HbA1 of following formulae discovery,
HbA1=[1-Vb/ (C*Wt)] * HbX, wherein,
Vb is patient's bleeding amount, and unit is ml;
C is per kilogram blood volume, and unit is ml/kg;
HbX is hemorrhage front detection Hemoglobin Value, and unit is g/l;
HbA1 unit is g/l.
10. the system of automatic acquisition transfusion volume as claimed in claim 8, is characterized in that, described computing module according to Hemoglobin Value HbA2 after following formulae discovery blood transfusion,
HbA2=HbX+HbT*Vt1/ (C*Wt); Or,
HbA2＝HbX+HbT*Vt2/(C*Wt)；
HbA2 unit is g/l.
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| CN106250689A (en) * | 2016-07-28 | 2016-12-21 | 汪德清 | The assessment of a kind of red blood cell transfusion demand and the system and method for therapeutic evaluation |
| CN113951843A (en) * | 2021-11-02 | 2022-01-21 | 北京和兴创联健康科技有限公司 | Intraoperative blood transfusion management and control method and system |
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| CN106250689A (en) * | 2016-07-28 | 2016-12-21 | 汪德清 | The assessment of a kind of red blood cell transfusion demand and the system and method for therapeutic evaluation |
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| CN113951843A (en) * | 2021-11-02 | 2022-01-21 | 北京和兴创联健康科技有限公司 | Intraoperative blood transfusion management and control method and system |
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Application publication date: 20150812 |