Phase investigation and analysis of 106 non-infectious transfusion adverse reactions cases
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摘要: 目的:血站和医疗机构联动推广非传染性输血不良反应三步诊断法,能协助临床早期诊断治疗。方法:对2012-2016年济源市医疗机构反馈的106例非传染性输血不良反应患者,分2个阶段进行调查对比分析。结果:2012-2014年医院常规上报,输血反应率分别是0.35%、0.39%、0.34%;2015年血站制定输血不良反应反馈处理流程,并在临床推广应用三步诊断法,输血反应率为1.20%、1.26%,两个阶段对比有显著差异。其中2015-2016年有6例反应较为典型,5例为非溶血性输血不良反应,1例为迟发性溶血反应。结论:有效的监督机制和方法应用,能降低输血不良反应漏报率。Abstract: Objective:To popularize the three-step diagnostic method for non-infectious adverse transfusion reactions with blood station and medical institutions together,in order to provide assistance to clinical early diagnosis and treatment.Method:A total of 106 non-infectious adverse transfusion reactions cases provided by local city medical institute from 2012 to 2016 were researched and analyzed in two stages.Result:According to regular hospital report from 2012 to 2014,the transfusion reaction rates were 0.35%,0.39% and 0.34% respectively.In the year 2015,blood station formulated the feedback treatment procedure of adverse transfusion reactions and popularized clinical application of three-step diagnostic method,the transfusion reaction rates were 1.20% and 1.26%.The difference between the two phases was remarkable.And 6 typical cases in the year 2015 to 2016,5 cases were non-hemolytic adverse transfusion reaction,one was delayed hemolytic transfusion.Conclusion:Effective supervisory mechanism and methods can lower false negative rate of adverse transfusion reaction.
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Key words:
- transfusion reactions /
- three-step approaches /
- procedure /
- delayed hemolytic transfusion
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