162 967例二次血型结果分析及其在输血安全中的意义探讨  

Analysis of Secondary Blood Group Results in 162 967 Cases and Its Significance in Transfusion Safety

作　　者：朱静 詹廷西[1] 王静[1] 罗金莲[1] 余泽波[1] ZHU Jing;ZHAN Tingxi;WANG Jing;LUO Jinlian;YU Zebo(The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;不详)

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《中外医学研究》2021年第2期169-171,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：重庆医科大学附属第一医院2018年度院内管理科研基金项目(GUJJ2018-08)。

摘　　要：目的:分析本院二次血型复核实施情况,探讨其在输血安全中的重要性。方法:交叉配血前二次核实配血患者血型,无历史血型者进行床旁血型采集。结果:2012-2019年备血患者共162 967例,其中床旁血型采集9 738例,有历史血型档案153 229例。二次血型不相合共25例,均为人为因素,包括患者标本采集15例,运输过程1例,血型鉴定6例,冒充患者或冒用医保卡3例。结论:二次血型复核规避了因血型错误所致溶血性输血不良反应的风险,保障了输血安全,是必不可少的环节。Objective:To analyze the implementation of the blood group secondary review system in our hospital and discuss its importance in blood transfusion safety.Method:The blood group of the patient was double checked before crossmatch.If there was no historical blood group record,blood sample would be collected beside the bed.Result:A total of 162 967 cases were prepared to accept transfusion from 2012 to 2019.Between them,9 738 cases were received twice blood typing beside and 153 229 cases with historical blood group records.There were 25 cases of mismatches between the initial and reexamination.The causes of incompatibility were all human factors,including patient specimen collection error (15 cases),transportation process error (1 case),inspection error (6 cases),and illegal medical insurance cards using (3 cases).Conclusion:As can avoid the risk of hemolytic transfusion adverse reactions caused by human factors and ensure the safety of blood transfusion,it is indispensable to carry out twice blood group typing system in transfusion.

关 键 词：二次血型 标本 输血安全 

分 类 号：R457.1[医药卫生—治疗学]