解放军某医院2010～2016年输血不良反应分析研究.docVIP

解放军某医院2010～2016年输血不良反应分析研究 黄小娟 陈烈霞 蒋绍玮 王秀菊 王晗 丁佳栋 秦东 闫茜起 高明 解放军兰州总医院输血科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:分解放军某医院输血不良反应的临床特点及影响因素, 为进一步加强临床合理安全输血提供理论依据。方法:回顾性分解放军某医院患者输血不良反应发生情况。结果:7年内共接受输血治疗患者163 812例, 发生输血不良反应59例 (0.036%) ;输注悬浮红细胞发生不良反应31例 (52.54%) , 血浆25例 (42.37%) , 血小板2例 (3.39%) , 全血1例 (1.69%) 。创伤外科输血不良反应发生率最高, 占0.17%, 其次为神经内科 (0.13%) 、心血管内科 (0.12%) , 妇产科 (0.09%) 和肿瘤科 (0.08%) , 且内科输血不良反应发生率一般高于外科。结论:为保障临床安全用血, 减少输血不良反应的发生, 医护人员要加强输血前不规则抗体筛查等措施, 全面监督管理输血链中各个环节的规范化。 关键词： 输血; 不良反应; 血液成分; 作者简介：黄小娟 (1988—) , 女, 技师, E-mail:luthxj@ 收稿日期：2017-09-10 Investigation and analysis of blood transfusion adverse reaction in one hospital of PLA HUANG Xiaojuan CHEN Liexia JIANG Shaowei Department of Blood Transfusion, Lanzhou General Hospital of PLA; Abstract： Objective:To investigate the clinical characteristics and influencing factors of blood transfusion adverse reactions in one hospital of PLA from 2010 to 2016, to provide theoretical basis for clinical blood transfusion.Methods:Blood transfusion adverse reactions recorded were retrospectively analyzed from 2010 to 2016.Results:A total of 163 812 patients received blood transfusion in seven years, 59 cases (0.036%) with blood transfusion adverse reactions.The occurrence of adverse reactions were infusion suspension red blood cells (31 cases, 52.54%) , plasma (25 cases, 42.37%) , blood platelet (2 cases, 3.39%) , whole blood (1 cases, 1.69%) .Trauma surgery was the highest in all clinical departments (0.17%) , followed by neurology (0.13%) , cardiology (0.12%) , obstetrics and gynecology (0.09%) , oncology (0.08%) , and blood transfusion adverse reaction rate in internal medicine was generally higher than that of department of surgery.Conclusion:In order to guarantee clinical safety of blood and reduce the occurrence of transfusion adverse reactions, the medical workers should strengthen irregular antibody screening test, supervise and manage the n