目的:研究不同浓缩红细胞以及新鲜冰冻血浆比例在创伤大输血患者预后中的应用价值。方法:选择我院2015年2月-2016年2月收治的137例创伤大输血患者作为研究对象,按照输血比例不同分为A组(浓缩红细胞:新鲜冰冻血浆≤1)27例,B组(1<浓缩红细胞:新鲜冰冻血浆≤1.5)41例,C组(1.5<浓缩红细胞:新鲜冰冻血浆≤2)24例以及D组(浓缩红细胞:新鲜冰冻血浆>2)45例,比较四组患者输血后效果以及对预后影响。结果:经过观察四组患者输血情况看出,输血前四组患者各项指标均无明显差别(P>0.05),输血后发现D组患者PT、APTT以及INR水平均高于A组与B组(P<0.05);四组患者住院时间无明显差别(P>0.05);D组输注新鲜冰冻血浆量明显比其他三组低,SOFA评分高于其他三组(P<0.05);A组输注浓缩红细胞量比其他三组低,差别具有统计学意义(P<0.05)。结论:创伤大输血患者采取合适输血比例可有效改善患者凝血水平,其中1.5<浓缩红细胞:新鲜冰冻血浆≤2比例效果更好,提高预后效果,促进疾病稳定。 OBJECTIVE: To study the value of different concentrations of red blood cells and fresh frozen plasma in the prognosis of traumatic transfusion patients. Methods: A total of 137 traumatic major transfusion patients admitted from February 2015 to February 2016 in our hospital were selected and divided into group A (concentrated red blood cells: fresh frozen plasma ≤ 1) 27 cases and group B ( 41 patients in group C (1.5 2) Post-transfusion outcomes and their impact on prognosis. Results: After observing the blood transfusion in the four groups, there was no significant difference among the four groups (P> 0.05). After transfusion, the levels of PT, APTT and INR in group D were higher than those in group A and group B (P <0.05). There was no significant difference in hospitalization time between the four groups (P> 0.05). The amount of fresh frozen plasma in group D was significantly lower than that in the other three groups and the SOFA score was higher than the other three groups (P <0.05) The volume of red blood cells transfused was lower than the other three groups (P <0.05). CONCLUSION: In patients with traumatic major transfusion, the appropriate blood transfusion ratio can effectively improve the blood coagulation level in patients with 1.5