《特殊情况紧急抢救输血推荐方案》在临床中的应用

Clinical Implementations of the Emergency Rescue Transfusion Recommendations Special Cases

目的探讨《特殊情况紧急抢救输血推荐方案》(简称《推荐方案》)在疑难血型配血困难及抗体筛查阳性中的应用意义。方法对血型鉴定困难及抗体筛查阳性且生命危急的患者,启动《推荐方案》中输血方案进行抢救,密切观察输血过程中的输血反应,并比较输血前及输血后1 d、7 d HB、HCT、TBIL、DBIL、IBIL的变化,评价临床疗效。结果应用《推荐方案》紧急抢救输血的患者均得到及时救治,且未发生不良反应。结论在疑难血型配血困难及抗体筛查阳性时,为抢救患者生命而及时有效的启动《推荐方案》是有必要的,有助于临床输血工作科学化、规范化,规避医疗风险。

Objective To investigate the clinical utilization of the Emergency Rescue Transfusion Recommendations under Special Cases （ERTRSs） and its significance in suspicious blood typing, cross-matching and antibody screening. Methods Patients in a critical condition and with suspicious blood cross-matching were given rescuing according to ERTRSs and adverse reactions following blood transfusion were closely monitored. Indicators of HB, Hct, TBIL, DBIL, and IBIL were analyzed ld and 7 d before and after transfusion so as to evaluate its therapeutic effect. Results All of the patients presented an effective treatments following the ERTRSs and no significant side effects were seen. Conclusion It is necessary to implement ERTRSs timely for rescuing the patients with difficult blood cross-matching and interpretation of antibody screening and for avoiding medical risk.