214例患者输血不良反应临床分析

目的 了解医院输血不良反应的基本情况,为临床更加合理用血、安全用血提供依据.方法 回顾性分析涪陵中心医院2012-2015年输血病例24408例,以临床输血不良反应回报单为准对其进行统计.结果 医院4年间共发生输血不良反应214例,反应率为0.88%.各种血液成分中,以冰冻血浆发生不良反应最多,其次为单采血小板和悬浮红细胞,洗涤红细胞最低.所有反应中过敏反应最多,其次为发热反应.输血不良反应率随时间呈下降趋势,随年龄段的增长呈上升趋势.不同血型、性别输血不良反应率,差异无统计学意义(P>0.05).结论 临床医疗单位应充分认识输血风险,建立规范化的用血制度并严格执行,加强输血知识培训,提倡自体输血及临床科学合理、安全用血.

Clinical analysis of 214 cases of blood transfusion adverse reactions

Objective To understand the basic situation of blood transfusion adverse reactions to provide a basis for more ra-tionally and safely using blood in clinic.Methods A total of 24 409 cases of blood transfusion in this hospital during 2012?2015 were retrospectively analyzed.The report forms of blood transfusion adverse reactions served as the criterion for conducting the sta-tistics.Results There were 214 case of transfusion adverse reaction in this hospital during these 4 years.The incidence rate was 0. 88%.Among 5 blood components,the adverse reaction occurrence by frozen plasma was maximal,followed by single donor PLT and suspension red blood cells,which by the washed red blood cells was lowest.The blood adverse reactions showed the decreasing trend with the time and increasing trend with the age group increase.The transfusion reactions had no statistical difference between sexes and among blood types(P>0.05).Conclusion Clinical medical units should fully recognize the risk of blood transfusion,set up a standardized blood usage system and strictly implement,strengthen the blood transfusion knowledge training,advocate the au-tologous blood transfusion and clinically scientific,reasonable and safe blood usage.