12406例输血患者临床输血不良反应调查分析

Investigation and analysis of clinical adverse blood transfusion reactions in 12406 patients with transfusion therapy

目的提高临床医护人员对各类输血反应的认识和处理能力,降低输血反应的发生。方法对西双版纳州人民医院2007年1月-2013年12月发生的输血反应进行回顾分析。结果 12 406例输血患者中,发生输血反应111例,总反应率为0.89%,其中输注血浆反应率为1.16%,红细胞悬液反应率为0.81%,血小板、冷沉淀及自体输血无输血反应发生。输血反应类型以过敏性反应居多,占70.27%,非溶血性发热性反应次之,占24.32%,其他反应占5.41%。结论输血反应主要以过敏性输血反应和非溶血性发热性输血反应为主,科学合理用血能有效降低输血不良反应的发生率。

Objective To improve the understanding and handling of medical staff for the transfusion reactions,and to reduce the occurrence of transfusion reaction.Methods All blood transfusion reactions occurred during January.2007 to December.2013 were analyzed in People＇s Hospitan of Xishuangbanna.Results In total 12 406 cases of all blood transfusions patients,111 cases of transfusion reaction showed adverse transfusion reaction,and the reaction rate was 0.89%,the plasma infusion reaction rate was 1.16%,the red cell suspension reaction rate was 0.81%,no blood transfusion reaction were observed in platelet,cryoprecipitate and autologous blood transfusion.The main transfusion reaction was allergic reaction which accounting for70.27%,and non-hemolytic febrile reaction followed,accounting for 24.32%,other blood transfusion reactions accounting for 5.41%.Conclusion Blood transfusion reactions weremainly anaphylactic transfusion reaction and non hemolytic transfusion reaction,scientific and rational use of blood can effectively reduce the incidence of adverse transfusion reaction.