63例输血不良反应的回顾性分析

发布时间：2019-01-04 09:29

【摘要】：目的通过回顾性分析该院63例输血不良反应患者情况,加强医护人员对输血不良反应的认识,进一步提高输血安全与疗效。方法选取2012~2014年3年该院发生输血不良反应的患者,分析其临床分布以及影响因素。结果近3年全院累计输血10 718例,共发生输血不良反应63例,发生率呈逐年上升趋势;其中发热反应22例,过敏反应36例,其他不良反应5例;血浆、红细胞及血小板等血液成分均可导致输血不良反应的发生,其中以单采血小板的发生率最高;输血史和(或)过敏史是导致输血不良反应发生的重要的影响因素,性别和年龄与输血反应的发生无差异。结论输血不良反应是血液安全预警监控的重要内容之一,加强医护人员对其的深入了解和认识,避免对输血不良反应的误判及漏报,严格控制输血指征,是安全有效输血的重要措施。
[Abstract]:Objective to analyze retrospectively the situation of 63 patients with adverse reaction of blood transfusion, strengthen the understanding of adverse reaction of transfusion among medical staff, and further improve the safety and curative effect of blood transfusion. Methods the clinical distribution and influencing factors were analyzed among the patients with adverse reaction of blood transfusion in our hospital from 2012 to 2014. Results there were 10 718 cases of blood transfusion in the past three years, 63 cases of adverse reactions of blood transfusion, the incidence of which was increasing year by year, including 22 cases of fever, 36 cases of allergic reactions and 5 cases of other adverse reactions. Blood components such as plasma, red blood cells and platelets can lead to adverse reactions of blood transfusion, among which the incidence of single platelet collection is the highest. The history of blood transfusion and / or allergic reaction were the important factors leading to the adverse reaction of blood transfusion. There was no difference between sex and age and the occurrence of blood transfusion reaction. Conclusion Blood transfusion adverse reaction is one of the important contents of early warning and monitoring of blood safety. It is necessary to strengthen the medical staff's understanding of it, avoid misjudgment and misreport of transfusion adverse reaction, and strictly control the indication of blood transfusion. It is an important measure for safe and effective blood transfusion.
【作者单位】：南华大学附属第一医院输血科;
【分类号】：R457.1

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