Retrospective analysis of adverse transfusion reactions of trauma patients
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摘要: 目的：回顾性分析创伤性患者发生输血不良反应的类型和原因，为创伤性患者的安全输血提供依据。方法：按照性别、输血史、妊娠史、血液类型对所有输血不良反应的病例进行分类统计。结果：4 231人次输血患者中发生输血不良反应80人次，发生率为1.85%。男43例，女37例，按性别比较差异无统计学意义（P>0.05）。有妊娠史的35例，与无妊娠史的比较差异有统计学意义（P<0.05）。有输血史的41例（其中男24例，女17例），与无输血史的患者比较差异有统计学意义（P<0.01）。发生不良反应的血液品种：红细胞悬液58例，血浆16例，冷沉淀3例，血小板3例。输血不良反应以发热反应最常见共56例（70%），过敏反应13例（16%），其他反应如胸闷、呼吸急促、寒战、溶血等共10例（12.5%）。结论：输血史及妊娠史与创伤患者的输血不良反应发生有关；同时创伤患者由于伴有创伤热、手术热、吸收热等非输血性发热反应，应与输血性发热不良反应鉴别。Abstract: Objective: To retrospectively analyze the types and causes of adverse transfusion reactions of trauma patients,and provide the basis for safe blood transfusion in trauma patients.Method: Adverse transfusion reaction was classified statistics according to gender,history of blood transfusion,pregnancy history and blood types.Result: It was found that adverse transfusion reaction was 80 case-time of 4231 cases,the incidence rate was 1.85%. There was 43 cases of males and 37 females(P>0.05);35 cases had pregnancy history(P<0.05);41 cases had history of blood transfusion(P<0.01).Fever reaction was the most common,accounting for 70%.Conclusion: The history of blood transfusion and pregnancy history could affect the incidence of adverse transfusion reactions for trauma patients;It must be distinguished from transfusion fever reaction and trauma heat,surgery heat,absorb heat,and other non-transfusion febrile to trauma patients.
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Key words:
- traumatic /
- blood transfusion /
- blood component transfusion /
- transfusion reaction
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