1例聚集性输液反应的调查分析与预防

Investigation of One Case of Aggregation Transfusion Reaction and Its Prevention

目的:对1例聚集性输液反应进行原因分析,总结出干预措施。方法:对2013年4-5月我院在脑病科发生的1例聚集性输液反应进行调查,同时收集相关数据。结果:发生输液反应的相关因素包括:使用中药注射剂(100%),有过敏史(50%),输液速度过快(25%),年龄偏大(75%);在出现输液反应的这8例患者中,4种因素均有占25%,3种因素均有占50%,2种因素均有占100%。结论:本次输液反应的发生,与药物因素、患者因素、输注速度和输液环境等因素有关。由于输液反应发生原因的复杂性和多样性,有条件的医院应尽快建立静脉配置中心和进行临床药学干预。

Objective：To analyze the cause of the aggregation transfusion reaction occurred in our hospital and to find out the intervention measures.Methods：To study and collect the relevant data of the aggregation transfu-sion reaction occurred in the encephalopathy section of our hospital during Apr. and May of 2013.Results：The related factors of transfusion reactions including：All of them had received traditional Chinese medicine injections, and half of them had allergic history,25% of them were given fast speed of transfusion and 75% of them were older people. In the 8 patients,25% of their transfusion reactions were caused by all of the four factors,50% caused by three factors,and the cause of two factors accounted for 100%.Conclusion：The analysis showed that the occurrence of transfusion reaction was related with the factors of medication, patient’s condition, and the infu-sion speed and environment.Because of the complexity and diversity of transfusion reaction, hospital should estab-lish the pharmacy intravenous admixture service（PIVAS）and give interventions through clinical pharmaceutical care.