283例临床输血反应的分析  

Retrospective study of 283 transfusion reactions

作　　者：乐道利[1] 张青[1] 饶神宗[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院检验科,武汉430022

出　　处：《临床血液学杂志（输血与检验）》2009年第6期655-656,672,共3页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的:回顾性分析我院近年来发生的输血反应。方法:对2006年1月—2009年9月期间输注各种血液成分的住院病例进行调查。结果:该期间共有41545人次的住院患者输注了111462U的各种血液成分,主要是去白红细胞悬液、新鲜冰冻血浆和冷沉淀;观察到283例发生了输血反应,反应发生率为0.25%,其中非溶血性发热性输血反应和过敏性输血反应占98.59%;不同的血液成分中,输注去白红细胞悬液、新鲜冰冻血浆和冷沉淀的输血反应发生率分别为0.16%、0.42%和0.30%。结论:急性输血反应主要是非溶血性发热性输血反应和过敏性输血反应,以输注新鲜冰冻血浆的反应发生率最高。Objective：To retrospectively study transfusion reactions in our hospital in recent years. Method： All transfusion data of hospitalized patients who transfused various blood components were analyzed from January 2006 to September 2009. Result：There were 41545 times transfusion with 111462 units various blood components, mainly leukocyte-depleted red blood cells（RBCs）, fresh frozen plasma （FFP） and cryoprecipitate （cryo）. 283 patients had transfusion reactions with the incidence rare of 0.25%, and febrile nonhemolytic transfusion reaction （FNHTR） and allergic transfusion reaction（ATR） accounted for 98.63 %. Of all blood components, the incidence rates of acute transfusion reaction in RBCs, FFP and Cryo were 0. 16%, 0.42% and 0.30%, respectively. Conclusion： Acute transfusion reactions were primarily FNHTR and ATR. The highest incidence rate was in FFP transfusion.

关 键 词：输血反应 非溶血性发热性输血反应 过敏性输血反应 

分 类 号：R457.1[医药卫生—治疗学]