单采血小板献血者发生红细胞溢出的护理1例  

Nursing care of apheresis platelet donor who developed red blood cell spillage:a case report and literature review

作　　者：胡婷婷[1] 王后云 徐小雯 王芳[1] 杨俊鸿[1] HU Tingting;WANG Houyun;XU Xiaowen;YANG Junhong;WANG Fang(Chongqing Blood Center,Chongqing 400052,China)

机构地区：[1]重庆市血液中心,重庆400052

出　　处：《中国输血杂志》2024年第8期940-945,共6页Chinese Journal of Blood Transfusion

基　　金：重庆市血液中心“科研苗圃计划”项目(2023MPJH14);重庆市输血协会华兰生物科研基金(CQSX-HL-202401)。

摘　　要：目的探讨单采血小板献血者发生红细胞溢出的原因分析和护理思路,避免献血不良反应或单采血小板报废,提升献血服务水平。方法依据文献证据制定红细胞溢出的护理流程图,附单采血小板献血者发生红细胞溢出的护理过程1例,并进行相应的文献复习。结果通过红细胞溢出的护理流程图施行护理干预后,献血者感受良好未发生献血不良反应,未再出现红细胞溢出,血小板成功采集。通过复习相关文献,系统性总结红细胞溢出的发生率、原理、原因、处理方法、预防献血不良反应及心理护理方法等。结论单采血小板献血者红细胞溢出偶有发生,红细胞溢出的护理流程图可帮助血站工作人员快速鉴别出原因并正确处理,避免处理不当造成不良反应或单采血小板报废,以获得良好结局。Objective To explore the causes and nursing strategies of red blood cell spillage in apheresis platelet donors,so as to avoid adverse reactions to blood donation and platelet discarding and improve blood donation services.Methods A nursing flowchart for red blood cell spillage was developed based on literature.One case of red blood cell spillage in a apheresis platelet donor as attached,and corresponding literature review was conducted.Results After the nursing intervention through the nursing flowchart of red cell spillage,platelet apheresis collection was successfully conducted.The donor felt good and did not experience any adverse reaction to blood donation,and with no more red blood cell spillage.By reviewing relevant literature,the incidence,principles,causes,treatments,prevention of adverse reactions to blood donation and psychological care methods of red blood cell spillage were systematically summarized.Conclusion Red blood cell spillage in apheresis platelet donors occurs occasionally,and a flowchart of care for red blood cell spillage can help blood station staff quickly identify the cause and handle it correctly to avoid mishandling whicn can result in adverse reactions or discarding of platelets.

关 键 词：单采血小板 献血者 红细胞溢出 不良反应 护理 

分 类 号：R457.14[医药卫生—治疗学] R193.3[医药卫生—临床医学] R472.2