老年患者实施预储式自体输血的安全性探讨

Discussion on the Safety of Prestore Autotransfusion in Elderly patients

目的分析住院的老年患者实施预储式自体输血的安全性。方法收集2009年1月至2012年6月在解放军第二六四医院住院的进行择期手术预储式自体输血的老年患者1358例,同时选择3778例未实施择期手术预储式自体输血的老年患者进行对比分析,比较两组患者的不良反应发生率。结果实施预储式自身输血的老年患者未见不良反应现象的出现,不良反应发生率为0.0%,而3778例异体输血的老年患者中出现输血不良反应46例,均表现为过敏或者发热反应;不良反应发生率为1.2%。结论为降低老年患者输血过程中不良反应的发生率,医疗机构应该建立科学合理的输血制度,根据患者的病情需要选择适合的血液成分,采用预储式自体输血的方式,保证老年患者输血的安全性。

Objective To study the safety of prestore autotransfusion in the elderly hospitalized patients. Methods Clinical data of 1358 cases of elderly patients underwent prestore autotransfusion for elective surgery in No. 264 Hospital of Chinese PLA from Jan. 2009 to Jun. 2012 were collected, another 3778 cases of elderly patients Who did not underwent prestore autotransfusion for elective surgery in the hospital during the same period were collected, incidences of adverse reactions in both groups were compared. Results There was no incidence of adverse reactions in patients underwent prestore autotransfusion, the incidence rate was 0. 0%. While there were 46 eases of adveme reactions of transfusion occurred in patients with alloge- neie transfusion, allergic reactions or fever were the clinical manifestation ; the incidence of adverse reactions was approximately 1.2%. Conclusion As reduce the incidence rate of adverse reactions among elderly patients with blood transfusion,medical institutions should establish a scientific and rational blood transfusion system, and choose appropriate blood components and apply prestore autotransfusion, in order to reduce adverse reactions in elderly patientsn.