创伤患者成分输血不良反应回顾性分析  

Retrospective analysis of adverse transfusion reactions of trauma patients

作　　者：王广芬[1] 王福斌[2] 何爱玲[2] 黄童[1] 袁抚妍[1] 

机构地区：[1]宁波市医疗中心李惠利医院院感科,浙江宁波315041 [2]宁波市第六医院输血科

出　　处：《临床血液学杂志（输血与检验）》2013年第3期399-400,共2页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：目的:回顾性分析创伤性患者发生输血不良反应的类型和原因,为创伤性患者的安全输血提供依据。方法:按照性别、输血史、妊娠史、血液类型对所有输血不良反应的病例进行分类统计。结果:4231人次输血患者中发生输血不良反应80人次,发生率为1.85%。男43例,女37例,按性别比较差异无统计学意义(P>0.05)。有妊娠史的35例,与无妊娠史的比较差异有统计学意义(P<0.05)。有输血史的41例(其中男24例,女17例),与无输血史的患者比较差异有统计学意义(P<0.01)。发生不良反应的血液品种:红细胞悬液58例,血浆16例,冷沉淀3例,血小板3例。输血不良反应以发热反应最常见共56例(70%),过敏反应13例(16%),其他反应如胸闷、呼吸急促、寒战、溶血等共10例(12.5%)。结论:输血史及妊娠史与创伤患者的输血不良反应发生有关;同时创伤患者由于伴有创伤热、手术热、吸收热等非输血性发热反应,应与输血性发热不良反应鉴别。Objective：To retrospectively analyze the types and causes of adverse transfusion reactions of trauma patients,and provide the basis for safe blood transfusion in trauma patients. Method：Adverse transfusion reaction was classified statistics according to gender,history of blood transfusion,pregnancy history and blood types. Result：It was found that adverse transfusion reaction was 80 case-time of 4231 cases,the incidence rate was 1.85%. There was 43 cases of males and 37 females（P0.05）;35 cases had pregnancy history（P0.05）;41 cases had history of blood transfusion（P0.01）.Fever reaction was the most common,accounting for 70%. Conclusion：The history of blood transfusion and pregnancy history could affect the incidence of adverse transfusion reactions for trauma patients;It must be distinguished from transfusion fever reaction and trauma heat,surgery heat,absorb heat,and other non-transfusion febrile to trauma patients.

关 键 词：创伤性 输血 成分输血 输血反应 

分 类 号：R457.1[医药卫生—治疗学]