浆细胞白血病患者发生急性溶血性输血反应的原因分析及其救治方案的探讨  

Analysis of causes of acute hemolytic transfusion reaction in plasma cell leukemia patients and discussion of treatment plan

作　　者：王文婷 张保萍 廖红 吴晓双 张嵘 胡兴斌 安群星 尹文 WANG Wenting;ZHANG Baoping;LIAO Hong

机构地区：[1]空军军医大学西京医院输血科,西安710032

出　　处：《临床血液学杂志（输血与检验）》2020年第3期430-432,共3页Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)

摘　　要：输血在内科患者支持性治疗过程中起着不可替代的作用,且整个输血过程的安全性及有效性是评估输血疗效的重要方面。输血过程中不可避免的会出现一些输血不良反应,其中以急性溶血性输血反应为最严重的输血不良反应,因此在输血治疗过程中如何保证患者的输血安全尤为重要。除输血科的相关实验室检查外也需结合患者的临床治疗过程进行分析。本文就1例浆细胞白血病患者2次输血后发生急性溶血性输血反应被成功救治,报告如下。To investigate the causes of hemolytic transfusion reaction in patients with primary plasma cell leukemia and formulate effective treatment.Irregular antibody screening was performed on the blood of a patient with plasma cell leukemia who had acute hemolytic transfusion reaction.Irregular antibody screening was negative and Coomb’s test was positive.Acute hemolytic transfusion reaction occurred after the patients were injected with red blood cells twice before and after.According to the analysis,the causes of hemolytic reaction of the patients were various factors.The patient was successfully treated after delayed transfusion and acute hemolytic transfusion reaction.For patients with hemolytic transfusion reaction,while improving the blood transfusion related serological examination,the correct treatment scheme should be given in combination with the clinical diagnosis and treatment process of patients to ensure the safety of patients.

关 键 词：浆细胞白血病 溶血性输血反应 输血安全 治疗 

分 类 号：R457.1[医药卫生—治疗学]