重庆某院临床输血不良反应特点及预防措施分析

摘要

Objective To analyze the characteristics of adverse transfusion reaction in Chongqing emergency medical center ,explore the effective measures to reduce the incidence of adverse reaction in clinical blood transfusion . Methods A total of 12 325 patients treated with blood transfusion in Chongqing emergency medical center were ana-lyzed retrospectively .Results In 12 325 patients ,there were 30 cases suffered from adverse transfusion reactions with the incidence rate as 0 .24% .The types of adverse transfusion reaction were 18 cases (60 .0% ) of allergic ,9 ca-ses (30 .0% ) of fever ,2 cases (6 .7% ) of lung injury ,1 case (3 .3% ) of hemolytic .Conclusion Hospitals should es-tablish monitoring system for the adverse transfusion reaction in order to find the characteristics of the adverse trans-fusion reaction .%目的：分析重庆市急救医疗中心临床输血不良反应的特点，探讨预防和减少临床输血不良反应的有效措施。方法回顾分析2012年1～12月重庆市急救医疗中心进行输血治疗的12325例患者出现输血不良反应情况，并对结果进行统计分析。结果在12325例输注血液制品患者中，出现输血不良反应30例，输血不良反应发生率为0．24％。在这30例出现输血不良反应患者中，出现过敏反应、发热、肺损伤、溶血所占比例分别为60．0％、30．0％、6．7％、3．3％。结论有条件的医院应建立输血不良反应监控系统，以发现所在医院输血不良反应的特点。