临床输血不良反应43例分析

Statistical Analysis of 43 Cases of Clinical Blood Transfusion Adverse Reactions

目的:分析患者发生输血不良反应的相关因素,探讨预防输血不良反应的有效措施,指导临床合理用血。方法:通过输血不良反应网上填报系统收集2015年1月至2016年12月期间接受输血治疗后发生输血不良反应的43例患者资料,对其临床资料进行回顾性分析。结果:2015年1月至2016年12月,荆州市第一人民医院输血不良反应发生率为0.5%,输血不良反应以过敏反应为主。输注血浆不良发生率高于输注其他血液成分,有输血史、年龄较大的患者发生输血不良反应的例数较多。结论:输血有风险,要高度注意有输血史、年龄较大的患者输血时的反应。

Objective:To study the related factors of adverse transfusion reaction in patients,to explore the effective measures to reduce the adverse reactions of transfusion,and to guide clinical rational use of blood.Methods:43patients with blood transfusion adverse reaction during the period from January 2015to December 2016through the online reporting system of blood transfusion adverse reactions of blood transfusion therapy in our hospital as the research object,the clinical data were retrospectively analyzed.Results:From January 2015to December 2016,the incidence of adverse reactions in our hospital was0.5%,and the adverse reactions were mainly based on the allergic reaction.The incidence rate of platelet transfusion was higher than other blood components,there were more cases of adverse reactions in patients with pregnancy history,history of blood transfusion and older age.Conclusion:There is a risk of blood transfusion,should pay attention to the history of pregnancy,the history of blood transfusion,older patients with blood transfusion reaction.