骨科患者输血不良反应的临床研究

发布时间：2018-03-25 03:32

本文选题：输血不良反应　切入点：骨科　出处：《中国输血杂志》2017年06期

【摘要】：目的采用国际标准回顾性研究骨科住院患者输血不良反应的发生率、类型、严重程度等特征。方法基于电子病历系统调查我院骨科病房2012年1月-2013年6月收住的所有输血患者在调查期间进行的每一次输血事件,统一按照国际输血协会2011年《非感染性输血不良反应监测标准》分别对每一次不良反应事件进行输血相关性分级和严重性分级评估。结果共297例患者进行了793次输血,56次输血事件经专家评估为输血不良反应事件,总的输血不良反应发生率为7.1/%或58.7/1 000 U;非溶血性发热性输血反应19次,局部过敏反应9次,输血相关呼吸困难8次,输血相关低血压4次,全身过敏反应1次,输血相关循环超负荷1次,输血相关急性肺损伤1次,不可分类的输血并发症13次;56次输血不良反应事件中,与输血肯定相关17次,很可能相关5次,可能相关34次;54次(96.4%)输血不良反应事件严重性1级,1次严重性2级,1次严重性4级。结论输血不良反应在骨科病房是常见的,存在严重的输血不良反应发生情况。
[Abstract]:Objective to retrospectively study the incidence and type of adverse reaction of transfusion in orthopedic inpatients with international standards. Methods based on the electronic medical record system, all blood transfusion patients admitted in our orthopaedic ward from January 2012 to June 2013 were investigated for each transfusion event during the investigation. According to the International Blood Transfusion Association's Monitoring Standard for Non-Infectious Blood Transfusion adverse reactions in 2011, blood transfusion correlation grading and severity grading were carried out respectively for each adverse reaction event. Results A total of 297 patients were evaluated for 793 times. 56 transfusion events were assessed by experts as adverse events of blood transfusion. The incidence of adverse reactions of blood transfusion was 7.1% or 58.7% / 1000 U, 19 times of non-hemolytic fever transfusion reaction, 9 times of local allergic reaction, 8 times of transfusion related dyspnea, 4 times of transfusion related hypotension and 1 time of systemic allergic reaction. Blood transfusion associated circulation overload once, transfusion associated acute lung injury 1 time, unclassified transfusion complications 13 times and 56 transfusion adverse reaction events, blood transfusion must be associated with 17 times, probably 5 times. It may be related to 34 times, 54 times (96. 4 times) the adverse events of blood transfusion are serious, one time, two times, one time, four times. Conclusion the adverse reaction of transfusion is common in orthopedic wards, and there are serious adverse reactions of blood transfusion.
【作者单位】：中国医科大学附属盛京医院;
【分类号】：R457.13

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