文章摘要
某三甲医院输血不良反应发生概况及分析
The occurrence and analysis of blood transfusion adverse reaction
投稿时间:2018-01-17  修订日期:2018-06-14
DOI:
中文关键词: 输血不良反应;预防对策;合理用血
英文关键词: adverse blood transfusion reactions; prevention measures; reasonable transfusion
基金项目:
作者单位邮编
孟子凡 青岛大学附属医院 266000
孙波* 青岛大学附属医院 
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中文摘要:
      摘要:目的 分析某三甲医院输血不良反应上报情况,研究常见输血不良反应的类型和影响输血不良反应产生的因素,从而采取有效输血方案减少输血不良反应的发生。方法 回顾性分析某三甲医院2015年7月至2017年6月上报的173191例输血病例,分析常见的输血不良反应、不同血液成分制品及不同临床科室中各种输血不良反应的出现情况和概率。结果 全部173191例输血病例中报告171例出现输血不良反应,均为过敏反应和非溶血性发热反应。不良反应发生率0.10%。输注后出现输血不良反应的血液制品有去白悬浮红细胞、冰冻血浆/病毒灭活冰冻血浆和去白单采血小板,其中去白单采血小板发生率最高。输注冷沉淀、洗涤红细胞及自体血的无输血不良反应报告。上报输血不良反应的临床科室以血液内科、血液儿科和肾病科居多。结论 临床医师应严格把握输血适应症,准确评估患者情况,杜绝无必要的输血。输注血液时应密切观察,注意识别输血不良反应,及时对症处理,如需再次输血提前采取预防措施、合理选择血液成分,提倡自体输血。
英文摘要:
      Abstract:Objective To discuss the factors affecting the adverse reactions of blood transfusion and the types of adverse reactions by analysising of the adverse reactions of blood transfusion in our hospital. Therefore, effective measures should be taken to reduce the incidence of adverse blood transfusion and ensure timely and effective blood transfusion. Methods Retrospective analysis of 17,3191 blood transfusion cases reported by our hospital from July 2015 to June 2017, the adverse reactions of different blood products and the adverse reactions of each department were analyzed. Results A total of 171 transfusions were reported, which were allergic reactions and non-hemolytic febrile reactions, at a rate of 0.10% . The blood products of blood transfusion adverse reactions included suspended leukocyte reduced red blood cells, frozen plasma and platelets. Among the blood products of transfusion adverse reactions, the incidence rate of platelets occupy the multiple.None in cryoprecipitate, washed red blood cells and autoblood. The majority of adverse reactions occurred in patients in department of Hematopathology, Pediatric Hematology and Nephrology.Conclusion The clinician should be strict with blood transfusion indications and avoid all unnecessary blood transfusion. Blood transfusion should be closely observed, and attention should be paid to the identification of adverse effects of blood transfusions, timely treatment of the disease, such as the need for further blood transfusions to take preventive measures to rationally select blood components, and promote autotransfusion.
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