ABO疑难血型患者紧急抢救的输血分析

Analysis of the Emergency Blood Transfusion in Rescuing Patients Who Have Difficult ABO Blood Type

目的观察评价《特殊情况紧急抢救输血推荐方案》(简称《推荐方案》)在ABO疑难血型患者抢救中的临床应用效果。方法按照《推荐方案》要求,对本院2015年判定为ABO疑难血型9例抢救用血患者启动紧急用血方案,在输血前后对血红蛋白等实验室指标进行监测,跟据实验室结果及患者体征对用血方案进行疗效评价。结果对5 758例输血患者中9例ABO疑难血型急危重患者(占总输血人数0.15%),进行紧急输血治疗,平均输入红细胞3 U,输血后血红蛋白值均高于输注前,无溶血性输血反应发生。结论《特殊情况紧急抢救输血推荐方案》在ABO疑难血型患者抢救的实际操作中具有很强的指导意义,可以安全应用于临床紧急用血工作。

Objective To observe and evaluate the clinical application effect of recommended scheme for emergency blood transfusions under special circumstances（referred to as ＂recommendations＂） in the rescue of patients who have difficult ABO blood type.Methods According to the requirement of ＂recommendations＂,startup the scheme for emergency blood transfusion in patients who have difficult ABO blood type in our hospital in2015,detect the laboratory indexes such as hemoglobin and bilirubin before and after the blood transfusion,evaluate the scheme＇s effect after analyzing the laboratory results and the status of the patients with symptoms of curative. Results There were9 cases of patients who have difficulty in ABO blood type and in critical illness among the5758 cases of patients with blood transfusion in2015（accounts for0.15% of the total number of blood transfusions）.Take emergency blood transfusion treatment for those9 cases. The average input amount of red blood cells was3 u. Hemoglobin values after blood transfusion were higher than before infusion and no hemolytic transfusion reaction happened.Conclusion The recommended emergency transfusions under special circumstances of patients who difficult ABO blood type has a strong guiding significance in rescuing practice and can be safely used in clinical emergency blood work.