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西南医科大学附属医院输血科
纸质出版日期:2020,
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[1]王雨涵,江灵,王洁,王华,雷丽明,黄远帅.血液病输血不良反应特征分析及处理措施[J].西南医科大学学报,2020,43(02):173-177.
WANG Yuhan, JIANG Ling, WANG Jie, et al. An analysis of the characteristics of blood transfusion-associated adverse reactions in patients with blood diseases and preventive measures[J]. Journal of Southwest Medical University, 2020,43(2):173-177.
[1]王雨涵,江灵,王洁,王华,雷丽明,黄远帅.血液病输血不良反应特征分析及处理措施[J].西南医科大学学报,2020,43(02):173-177. DOI:
WANG Yuhan, JIANG Ling, WANG Jie, et al. An analysis of the characteristics of blood transfusion-associated adverse reactions in patients with blood diseases and preventive measures[J]. Journal of Southwest Medical University, 2020,43(2):173-177. DOI:
目的:调查血液病病人输血不良反应发生情况
分析其特点
探索预防措施。方法:回顾性调查我院自2016年至2018年血液疾病患者输注血液成分的临床资料及输血不良反应回报单
统计输血不良反应发生情况并分析其特征。结果:血液疾病患者输血不良反应发生率分别为0.82%、0.75%、0.68%
差异无统计学意义(c
2
=1.413
P
>
0.05);本次调查中发生输血反应患者共159例
发生不良反应的血液成分有悬浮红细胞(0.71%)、血浆(0.92%)、血小板(0.93%)、冷沉淀(1.02%)
悬浮红细胞的不良发生率低于其他三种
差异有统计学意义(P
<
0.05);有输血史的患者输血不良反应发生率(0.99%)高于无输血史的(0.42%)(P
<
0.05);有妊娠史的患者不良反应发生率(0.94%)高于无妊娠史(0.63%)的(P
<
0.05);急性白血病不良反应发生率高于其他疾病
差异有统计学意义(P
<
0.05)。结论:血液疾病患者多数存在贫血、出血及凝血功能障碍情况
需反复输血
易发生输血不良反应发生
对此类患者应予以重视
合理应用各种特殊血液成分
提前药物预防等措施
提高输血安全性和有效性。
Objective: To investigate the incidence of blood transfusion-associated adverse reactions(BTAARs)in patients with blood diseases
to analyze the characteristics of the cases
and to explore preventive measures.Methods: The clinical data and BTAARs reports of patients with blood diseases who had received blood componenttransfusion in our hospital from 2016 to 2018 were retrospectively investigated to summarize the incidence of BTA-ARs and analyze the characteristics of the cases. Results: The incidence rates of BTAARs were 0.82%
0.75%
and 0.68%
respectively
with no significant differences observed between the groups(χ
2
= 1.413
P
>
0.05). A to-tal of 159 patients experienced BTAARs in this investigation. Adverse reactions occurred due to transfusion of bloodcomponents(i.e.
red blood cell suspension(0.71%)
plasma(0.92%)
platelets(0.93%)
and cryoprecipitate(1.02%)
with a significantly lower incidence rate observed for red blood cell suspension compared with the otherthree components(P
<
0.05). Patients with a history of blood transfusion or pregnancy had a significantly higher rateof BTAARs than those without(0.99% vs 0.42%
P
<
0.05; 0.94% vs 0.63%
P
<
0.05). Patients with acute leuke-mia had a significantly higher rate of adverse reactions than those with other diseases(P
<
0.05). Conclusion: Themajority of patients with blood diseases have anemia
bleeding
and coagulation disorder
thus requiring repeatedblood transfusions
which makes them more susceptible to BTAARs. Therefore
attention should be paid to such pa-tients
with proper use of special blood components
and preventive measures should be taken in advance
so as toimprove the safety and effectiveness of blood transfusion.
血液疾病输血不良反应预防措施
Blood diseaseBlood transfusion-associated adverse reactionPreventive measure
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