特殊情况紧急抢救血小板ABO非同型输注回顾性分析

发布时间：2019-01-19 19:17

【摘要】：目的通过回顾性分析特殊情况紧急抢救时单采血小板ABO同型输注与异型输注2组病例,探讨单采血小板ABO非同型输注的必要性和可行性。方法统计邯郸地区8家医院非同型紧急抢救输注单采血小板情况,统计2014年12月-2015年11月单采血小板ABO异型输注率,分析比较单采血小板ABO同型和异型输注2组病例的临床输注指征及输注效果评价。结果共输注单采血小板804袋,ABO同型输注780袋,输注率97.01%,异型输注24袋,输注率2.99%;同型输注有效率75.26%,异型输注有效率41.67%,2组病例输注有效率差别比较有统计学意义。排除非免疫因素,同型输注有效率80.08%,异型输注有效率62.5%,2组病例输注有效率比较差异无统计学意义。结论单采血小板输注有效率ABO异型输注低于ABO同型输注,但排除非免疫因素,2组病例输注无显著性差异,因此,特殊情况紧急抢救时,ABO异型输注是必要的、可行的。
[Abstract]:Objective to investigate the necessity and feasibility of platelet ABO heterogeneous infusion in two groups of patients who were given homotypic and heterotopic transfusion of platelet ABO during emergency rescue. Methods the blood platelets were collected from 8 hospitals in Handan, and the rate of ABO transfusion was counted from December 2014 to November 2015. Objective: to analyze and compare the indication of clinical infusion and the evaluation of the effect of ABO infusion in two groups. Results A total of 804 bags of platelets and 780 bags of ABO of the same type were collected. The infusion rate was 97.01 and 24 bags respectively. The infusion rate was 2.99. The effective rate of homotypic infusion was 75.26 and the effective rate of heteromorphic infusion was 41.67. There was significant difference in the effective rate of transfusion between the two groups. Excluding non-immune factors, the effective rate of the same type of infusion was 80.08, and the effective rate of abnormal infusion was 62.5%. There was no significant difference in the effective rate of infusion between the two groups. Conclusion the effective rate of platelet transfusion alone is lower than that of ABO homotypic infusion, but there is no significant difference between the two groups by excluding non-immune factors. Therefore, it is necessary and feasible to infuse abnormal ABO in emergency rescue under special circumstances.
【作者单位】：邯郸市中心血站;解放军总医院;南方医科大学南方医院;
【分类号】：R457.1

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