360例紧急输血预案病例的输血情况分析
发布时间：2018-12-31 22:23
【摘要】：目的探讨紧急情况下不同输血预案的安全性及可行性。方法回顾性分析了四川大学华西医院2011-2016年启动紧急输血预案的360例输血病例,A预案为输血科收到输血申请后立即发放O型Rh D阳性血和/或AB型血浆,B预案为发放凝聚胺法交叉配血相合的ABO同型的血液,统计分析2种预案的血液发放时间、死亡率、红细胞及血浆用量、输血前血液指标,同种抗体检出情况以及溶血反应发生率。结果 A预案组平均发血时间为5 min,B预案组平均发血时间为16 min,2组死亡率、用血量、输血前血红蛋白及血小板计数差异有统计学意义,B预案有2例患者查出抗-E,全部病例均为Rh阳性,无1例发生溶血性输血反应。结论 2种紧急输血预案对不同临床情况的紧急失血患者的输血抢救均提供了保障,验证了O型Rh D阳性血作为紧急失血患者的输血抢救通用血(universal blood)的安全性及有效性。
[Abstract]:Objective to explore the safety and feasibility of different blood transfusion plans in emergency situations. Methods 360 cases of emergency blood transfusion in West China Hospital of Sichuan University from 2011 to 2016 were retrospectively analyzed. The A case included O type Rh D positive blood and / or AB plasma immediately after receiving the blood transfusion application. The B plan is the blood of the same type of ABO matched by the method of distributing polyacrylamide. The blood release time, mortality rate, the amount of red blood cell and plasma, the blood index before blood transfusion of the two kinds of plans were statistically analyzed. The detection of homoantibody and the incidence of hemolytic reaction. Results there were significant differences in blood volume, hemoglobin and platelet count between group A and group A (5 min,B, 5 min,B, 16 min,2). Two patients in plan B were found to have anti-E-, the difference of blood volume, pre-transfusion hemoglobin and platelet count was statistically significant. All cases were Rh positive, and no hemolytic transfusion reaction occurred in all cases. Conclusion the two kinds of emergency blood transfusion plans can guarantee the blood transfusion and rescue of patients with emergency blood loss in different clinical situations, and verify the safety and effectiveness of O type Rh D positive blood transfusion as a blood transfusion for emergency blood loss patients to rescue general purpose blood (universal blood).
【作者单位】： 四川大学华西医院输血科;
【分类号】：R457.1
，
本文编号：2397189
[Abstract]:Objective to explore the safety and feasibility of different blood transfusion plans in emergency situations. Methods 360 cases of emergency blood transfusion in West China Hospital of Sichuan University from 2011 to 2016 were retrospectively analyzed. The A case included O type Rh D positive blood and / or AB plasma immediately after receiving the blood transfusion application. The B plan is the blood of the same type of ABO matched by the method of distributing polyacrylamide. The blood release time, mortality rate, the amount of red blood cell and plasma, the blood index before blood transfusion of the two kinds of plans were statistically analyzed. The detection of homoantibody and the incidence of hemolytic reaction. Results there were significant differences in blood volume, hemoglobin and platelet count between group A and group A (5 min,B, 5 min,B, 16 min,2). Two patients in plan B were found to have anti-E-, the difference of blood volume, pre-transfusion hemoglobin and platelet count was statistically significant. All cases were Rh positive, and no hemolytic transfusion reaction occurred in all cases. Conclusion the two kinds of emergency blood transfusion plans can guarantee the blood transfusion and rescue of patients with emergency blood loss in different clinical situations, and verify the safety and effectiveness of O type Rh D positive blood transfusion as a blood transfusion for emergency blood loss patients to rescue general purpose blood (universal blood).
【作者单位】： 四川大学华西医院输血科;
【分类号】：R457.1
，
本文编号：2397189
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