360例緊急輸血預(yù)案病例的輸血情況分析
發(fā)布時(shí)間：2018-12-31 22:23
【摘要】：目的探討緊急情況下不同輸血預(yù)案的安全性及可行性。方法回顧性分析了四川大學(xué)華西醫(yī)院2011-2016年啟動(dòng)緊急輸血預(yù)案的360例輸血病例,A預(yù)案為輸血科收到輸血申請(qǐng)后立即發(fā)放O型Rh D陽(yáng)性血和/或AB型血漿,B預(yù)案為發(fā)放凝聚胺法交叉配血相合的ABO同型的血液,統(tǒng)計(jì)分析2種預(yù)案的血液發(fā)放時(shí)間、死亡率、紅細(xì)胞及血漿用量、輸血前血液指標(biāo),同種抗體檢出情況以及溶血反應(yīng)發(fā)生率。結(jié)果 A預(yù)案組平均發(fā)血時(shí)間為5 min,B預(yù)案組平均發(fā)血時(shí)間為16 min,2組死亡率、用血量、輸血前血紅蛋白及血小板計(jì)數(shù)差異有統(tǒng)計(jì)學(xué)意義,B預(yù)案有2例患者查出抗-E,全部病例均為Rh陽(yáng)性,無(wú)1例發(fā)生溶血性輸血反應(yīng)。結(jié)論 2種緊急輸血預(yù)案對(duì)不同臨床情況的緊急失血患者的輸血搶救均提供了保障,驗(yàn)證了O型Rh D陽(yáng)性血作為緊急失血患者的輸血搶救通用血(universal blood)的安全性及有效性。
[Abstract]:Objective to explore the safety and feasibility of different blood transfusion plans in emergency situations. Methods 360 cases of emergency blood transfusion in West China Hospital of Sichuan University from 2011 to 2016 were retrospectively analyzed. The A case included O type Rh D positive blood and / or AB plasma immediately after receiving the blood transfusion application. The B plan is the blood of the same type of ABO matched by the method of distributing polyacrylamide. The blood release time, mortality rate, the amount of red blood cell and plasma, the blood index before blood transfusion of the two kinds of plans were statistically analyzed. The detection of homoantibody and the incidence of hemolytic reaction. Results there were significant differences in blood volume, hemoglobin and platelet count between group A and group A (5 min,B, 5 min,B, 16 min,2). Two patients in plan B were found to have anti-E-, the difference of blood volume, pre-transfusion hemoglobin and platelet count was statistically significant. All cases were Rh positive, and no hemolytic transfusion reaction occurred in all cases. Conclusion the two kinds of emergency blood transfusion plans can guarantee the blood transfusion and rescue of patients with emergency blood loss in different clinical situations, and verify the safety and effectiveness of O type Rh D positive blood transfusion as a blood transfusion for emergency blood loss patients to rescue general purpose blood (universal blood).
【作者單位】： 四川大學(xué)華西醫(yī)院輸血科;
【分類號(hào)】：R457.1
，
本文編號(hào)：2397189
[Abstract]:Objective to explore the safety and feasibility of different blood transfusion plans in emergency situations. Methods 360 cases of emergency blood transfusion in West China Hospital of Sichuan University from 2011 to 2016 were retrospectively analyzed. The A case included O type Rh D positive blood and / or AB plasma immediately after receiving the blood transfusion application. The B plan is the blood of the same type of ABO matched by the method of distributing polyacrylamide. The blood release time, mortality rate, the amount of red blood cell and plasma, the blood index before blood transfusion of the two kinds of plans were statistically analyzed. The detection of homoantibody and the incidence of hemolytic reaction. Results there were significant differences in blood volume, hemoglobin and platelet count between group A and group A (5 min,B, 5 min,B, 16 min,2). Two patients in plan B were found to have anti-E-, the difference of blood volume, pre-transfusion hemoglobin and platelet count was statistically significant. All cases were Rh positive, and no hemolytic transfusion reaction occurred in all cases. Conclusion the two kinds of emergency blood transfusion plans can guarantee the blood transfusion and rescue of patients with emergency blood loss in different clinical situations, and verify the safety and effectiveness of O type Rh D positive blood transfusion as a blood transfusion for emergency blood loss patients to rescue general purpose blood (universal blood).
【作者單位】： 四川大學(xué)華西醫(yī)院輸血科;
【分類號(hào)】：R457.1
，
本文編號(hào)：2397189
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