建立输血不良反应监测的临床意义

Clinical importance of transfusion reaction monitoring net setup

目的:通过输血不良反应监测方法的建立,对回报的各类输血不良反应进行研究和分析,探讨有效的预防及降低临床发生输血不良反应的手段和措施。方法:建立输血不良反应监测系统。具体由医院临床输血管理委员会、输血科及临床医生组成的三级监测程序,由医护人员填写统一的输血不良反应登记表,建立逐级报告制度。结果:35056人次,共计98119U血液成分输注中,发生输血反应91例,其反应率为0.26%,每单位血液成分的反应率为0.09%。结论:输血不良反应监测的建立,使医务人员更有效地诊断、治疗和预防各种输血反应的发生,提高临床输血的安全性和有效性。

Objective：To study and analyze all transfusion reactions by setting up the monitoring net of transfu- sion reaction and to find out the effective measures to take precautions against and decrease the clinical transfusion reaction. Method：A monitoring net of transfusion reaction was set up. In details,the 3-class supervision program was built up by hospital clinic transfusion management committee, transfusion department and clinic doctors. And the doctors and nurses filled in the standard list of transfusion reaction, and step report system was set up. Result~ In total, 98 119 blood-composition transfusion cases of 35 056 persons/times,91 cases with transfusion reRction were found and the reaction percent was 0.26% and the percent in each unit of blood-composition reaction was 0. 09%. Conclusion ： By setting up the monitoring net of transfusion reaction,the doctors could diagnose, treat and take precautions against all the kinds of transfusion reactions effectively and develop the safety and affectivity of clinical blood transfusion.