【摘要】 目的调查河南省多个地市发生的非传染性输血不良反应病例,提高临床输血效果。方法使用非传染性输血不良反应三步诊断法,对2010~2012年57 746人次输血不良反应调查分析。结果输血病例中不良反应发生率为0.66%(383/57 746)。<24 h输血反应发生310例(80.94%),24 h后73例(19.06%);溶血组12例(3.13%),非溶血组371例(96.87%)。其中以血小板和全血的输血反应发生频率最高,分别为6.16%、4.29%。6种血液成分输血反应发生率差异有统计学意义(χ2=734.95,P<0.01)。结论使用推荐的临床和实验室结合的分组法,有助于有效、快速诊断非传染性输血不良,有利于临床输血安全。更多还原

【Abstract】 Objective Given that cases of noninfectious complications of blood transfusion have happened in multiple places in Henan province,this article conducted a retrospective analysis of those cases so as to improve the effectiveness of clinic blood transfusion.Methods Using the 3-step diagnosis,complications reported from 57 746 person times were investigated and analyzed.Results Complications happened to 0.66 percent(383 cases) of all the blood transfusion cases.Among those who showed complications,310 cases(80.94%) happened within 24 hours after transfusion,and 73 cases(19.06%) happened after 24 hours.12 cases(3.13%) were categorized as hemolysis case group and the rest of them(371 cases) were non-hemolysis case group.Among the six blood constituents,thrombocyte and whole blood exhibited stronger tendency to have blood transfusion reaction,respectively 6.16% and 4.29%.There was significant differences between the six constituents in terms of the blood transfusion reaction possibility(χ2= 734.95,P < 0.01).Conclusion To categorize cases by combing the clinic and laboratory result is helpful to diagnose the noninfectious complications of blood transfusion faster and more effectively,and hence to guarantee a safer clinic blood transfusion.更多还原