影响红细胞输血无效的相关因素分析

马红丽; 刘瑞玲; 杨育红

影响红细胞输血无效的相关因素分析

- 洛阳市中心血站(河南洛阳, 471000)

详细信息

通讯作者: 马红丽,E-mail:luoyangmali@yahoo.cn

中图分类号: R555

收稿日期: 2012-07-04

Analysis on risk factors affecting ineffective red blood cells transfusion

- Luoyang Blood Center, Luoyang, 471000, China

More Information

Corresponding author: MA Hongli, E-mail: luoyangmali@yahoo.cn

Received Date: 04 July 2012

摘要

摘要: 目的：开展红细胞输血无效原因分析，制定预防输血无效现象发生的对策，科学有效输血。方法：通过调查洛阳地区3 000份输血病例，总结输血无效现象在各科室分布情况，输血无效与性别、年龄、输血次数、妊娠次数的关系，输血不良反应与输血无效现象的关联性。结果：临床各科室都存在红细胞输血无效现象，其中血液科、普通外科占比例较高；红细胞输血无效现象与男女性别、输血次数、妊娠次数均差异有统计学意义；迟发型溶血反应导致输血无效率最高占输血不良反应的85.71%。结论：针对红细胞输血无效的原因找到经济实用的解决办法，提出红细胞输血无效的预防对策，使临床输血科学有效，既节约宝贵的血液资源，又保障受血者身心健康。
- 红细胞 /
- 输血 /
- 无效 /
- 预防对策
Abstract: Objective: To explore the risk factors affecting ineffective red blood cells transfusion,and develop preventive countermeasures for ineffective transfusion to ensure the effect of blood transfusion.Method: The gender,age,number of transfusions and pregnancy of 3000 cases in Luoyang were collected,the distribution of ineffective transfusion in the various departments and were summarized.The correlation between adverse reactions and ineffective blood transfusion were analyzed.Result: The ineffective red blood cell transfusion existed in common in clinical departments,and the hematology,general surgery departmet accounted for a higher proportion.The gender,number of transfusions,number of pregnancy were significantly different for patients;delayed-type hemolytic reaction was the main cause for ineffective blood transfusion,accounting for 85.71%.Conclusion: It would be conducive to save blood and protect patient that seeking economical and practical solution for red blood cell transfusion,developing preventive countermeasures for ineffective transfusion.
- red blood cell /
- blood transfusion /
- ineffective /
- prevention

HTML全文

参考文献(6)

[1]	DZIK W H, CORWIN H, GOODNOUGH L T, et al.Patient safety and blood transfusion:new solution[J].Transfus Med Rev, 2003, 17:169-170.
[2]	吕运来, 贠中桥, 兰炯采, 等.红细胞无效输注回顾性初探[J].中国输血杂志, 2007, 20(3):220-221.
[3]	田兆嵩.临床输血学[M].北京:人民卫生出版社, 1998:33-34.
[4]	ENGELFRIET C P, REESINK H W.Prevention and diagnosis of delayed haemolytic transfusion reactions[J].Vox Sang, 2006, 91:353-368.
[5]	SO C C, WONG K F, YU P H, et al.Alloimmunization in Chinese with warm autoimmune haemolytic anaemia-incidence and characteristics[J].Transfus Med, 2000, 10:141-143.
[6]	LEE E, REDMAN M, BURGESS G, et al.Do patients with autoantibodies or clinically insignificant alloantibodies require an indirect antiglobulin test crossmatch[J]?Transfusion, 2007, 47:1290-1295.