对93例静脉输液反应的分析及管理对策

Existing problems and countermeasures in the management of transfusion reaction

目的 :减少静脉输液的热原反应。方法 :分析 93例静脉输液热原反应情况。结果 :输液反应管理中存在以下问题 :登记不全 ;取样范围局限和热原检测比例不足 ;两种药物热原检测方法—家兔试验法与鲎试验法的结论有不一致性 ;医务人员思想认识模糊 ,原因排查不力。结论 :健全医院输液反应管理制度 ,做好各种原始记录 ,在输液反应热原检测中 。

Objective:To reduce the incidence of fever reaction in vein transfusion.Method:To make a retrospective study of 93 cases of fever reaction in vein transfusion.Result:There are problems in the management of transfusion reaction,such as incomplete registration,limited range of samples and insufficient testing percentage of the cases,inconsistence in the conclusion of two testing methods of drugs-domestic:hare testing method and limuloid testing method,unawareness of the medical staff and ineffective investigation of the causes.Conclusion:Strengthen the management policies in transfusion reaction of the patients,keep detailed original records.Of the fever testing methods,limuloid testing method is more reliable and timely.