摘要
目的了解输血不良反应的发生的原因,探讨降低和预防输血不良反应的措施,以指导临床合理用血。方法回顾性分析该院2013年1月至2016年12月的输血不良反应患者资料,分析发生输血不良反应患者基本信息、输血种类及不良反应类型。结果 2013-2016年,输血不良反应发生率为0.18%。其中发热反应30例,占37.97%;过敏反应49例,占62.03%。由红细胞引起3例,占3.8%,血浆类制品引起76例,占97.2%。首次输血发生输血反应23例,占29.11%,其中女性16例,均有妊娠史;多次输血发生输血反应46例,占70.89%。结论临床输血有一定的风险,患者的输血史、妊娠史以及血液成分都是引起输血不良反应的重要原因,合理选择治疗方法及血液成分,降低不良反应发生率,提高输血安全。
Objective To retrospectively analyze the clinical adverse reactions of transfusion in our hospital from 2013 to 2016 so as to understand the causes of adverse reactions of transfusion in our hospital and to explore the measures to reduce and prevent the adverse reactions of transfusion in order to guide the rational use of blood. Methods The retrospective statistics of our hospital from 2013 to 2016 of transfusion adverse patient records,analysis of the basic information of patients with adverse transfusion reactions,blood transfusion types and adverse reaction types. Results From 2013 to 2016,the incidence of adverse reactions in transfusion was 0.18%.Among them,30 were fever,accounting for 37.97%,49 were allergic,accounting for 62.03%.3 were caused by erythrocytes,accounting for 3.8%; 76 were caused by plasma products,accounting for 97.2 %.The first transfusion blood transfusion reactions in 23 cases,accounting for 29.11%,of which 16 cases of women,have a history of pregnancy; multiple transfusions in 46 cases of transfusion reactions,accounting for 70.89%. Conclusion The clinical transfusion has certain risk.The history of blood transfusion,the history of pregnancy and the blood component itself are the important causes of adverse transfusion reactions.The reasonable treatment methods and blood components are selected to reduce the incidence of adverse reactions and improve the blood transfusion safety.
作者
何翠
邓素容
HE Cui;DENG Surong(Department of Blood Transfusion,Yongchuan Hospital Affiliated of Chongqing Medical University,Yongchuan,Chongqing 402160,China)
出处
《检验医学与临床》
CAS
2018年第22期3339-3341,共3页
Laboratory Medicine and Clinic
基金
中国高等教育学会大学素质教育研究分会大学素质教育专题研究项目(CALE201669)
关键词
输血
不良反应
过敏
发热
输血安全
adverse reactions of blood transfusion
allergy fever transfusion safety
preventive measures
