53例输血不良反应的回顾性分析

摘要

目的：通过对医院输血不良反应现状的调查，将各类成分用血输血不良反应的发生情况进行对比分析，以期提高医护人员对输血不良反应的认识能力和应急处理能力。方法：选择2008年1月至2014年6月我院住院患者输血病例发生不同种类输血不良反应的53例作为观察对象，对其临床资料进行回顾性分析。结果：不同血液制品成分都会出现不同程度的输血不良反应，且不同血液制品种类不良反应发生率有显著性差异（P＜0．05），而主要不良反应类型为FNHTR（47．83％）和变态反应（37．68％）；老年组的输血不良反应类型与非老年组比较无显著性差异（P＞0．05）。结论：多种血液制品均能够导致输血不良反应的发生，输血不良反应以FNHTR和变态反应为主，年龄对输血不良反应无影响。%Objective:To improve transfusion safety, the frequency of the adverse reactions (or effects) of transfusion and to investigate the associations of adverse reactions with different blood components.Methods:Fifty-three patients with adverse reaction caused by different blood components transfusion were selected and analyzed.All these patients were admitted from January 2008 to June 2014.Results:There was a significant differences in the types of adverse reactions of different transfusion.The main adverse reactions were FNHTR ( 47.83%) and allergic reaction ( 37.68%).No difference was observed between the elderly groups and the matched group.Conclusion: All blood products could cause adverse reactions of transfusion.There was a statistical correlation between the types of adverse reactions and different transfusion.