ABO疑难血型患者紧急抢救输血回顾性分析

发布时间：2019-04-20 11:34

【摘要】：目的观察紧急用血方案在ABO疑难血型抢救应用的效果。方法对ABO正反定型不符、30 min不能准确确定血型、紧急状态急需输血的患者启动紧急相容性输血方案,观察启动紧急输血供血时限、输血不良反应发生情况、输血总量和患者的预后,以及患者血型确定后的输血方案。结果 2015年,累计6 279例需要输血治疗成人患者,15例患者出现正反定型不符,其中10例进行了紧急输血治疗。从输血申请核准到确定启动紧急用血方案平均时间为(23.31±7.54)min(17 min-45 min),从确定启动紧急输血方案到开始输血的平均时间为(26.77±13.36)min(23 min-40 min),平均输入O型红细胞量为(2.43±1.77)U(2 U-8 U),输血前Hb值为(52.22±11.11)g/L(31 g/L-66 g/L),输血后Hb为(61.40±11.13)g/L(42 g/L-74 g/L),10例患者均无溶血反应发生。结论应急输血方案可以安全应用于ABO疑难血型患者应急抢救。
[Abstract]:Objective to observe the effect of emergency blood use scheme in rescuing difficult blood type of ABO. Methods the patients who were in urgent need of blood transfusion started emergency compatible blood transfusion program, and observed the time limit of starting emergency blood transfusion and the occurrence of adverse reaction of blood transfusion, which were not consistent with the positive and negative ABO typing, and could not accurately determine blood type at 30 min. The total amount of blood transfusion and the prognosis of the patient, as well as the transfusion plan after the patient's blood type was determined. Results in 2015, a total of 6 279 adult patients needed to be treated by blood transfusion, 15 of them had positive or negative stereotyping, and 10 of them received emergency transfusion treatment. The average time from the approval of the blood transfusion application to the determination of the emergency blood use programme was (23.31 卤7.54) min (17 min-45 min), from the determination of the initiation of the emergency blood transfusion programme to the beginning of the transfusion was (26.77 卤13.36) min (23 min-40 min),). The mean dose of O-type erythrocytes was (2.43 卤1.77) U () 2 U / 8 U), before transfusion (52.22 卤11.11) g / L (31 g/L-66 / g / L). The post-transfusion Hb was (61.40 卤11.13) g / L (42 g/L-74 / g / L). There was no hemolytic reaction in 10 patients. Conclusion the emergency transfusion scheme can be safely applied to the emergency rescue of ABO patients with difficult blood type.
【作者单位】：中国医科大学附属盛京医院;解放军总医院;南方医科大学南方医院;
【分类号】：R457.11

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