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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:

第25卷

期数:

2018年06期

页码:

018-20

栏目:

特别关注

出版日期:

2018-11-28

文章信息/Info

作者:

刘建辉 陈文燕 贾桂丛 陈莉

河北省人民医院

关键词:

输血不良反应; 分类规范; 回顾性研究

Keywords:

Adverse Events of Transfusion;  Classification Norms;  Retrospective Study

DOI:

10.13912/j.cnki.chqm.2018.25.6.06

摘要:

目的对2017年上报的输血不良反应进行回顾性评估分级，为最终制定输血不良反应分类规范提供参考。方法汇总2017年石家庄市5家三级医院上报至河北省血液中心的192例输血不良反应，根据患者输血前后的临床表现及变化、相关实验室检查等数据对输血不良反应进行重新评估，从反应类型的肯定程度、反应的严重程度、反应与输血相关性3方面进行评估分级。结果上报的192例输血不良反应中，过敏性输血反应116例，非溶血性发热反应68例；肯定158例，基本肯定31例，疑似3例；不严重178例，严重12例，危及生命2例；反应与输血明确相关14例，很有可能相关162例，可能有关16例。结论将输血不良反应按肯定程度、严重程度、相关性程度进行分类，从深度和广度上进行分析讨论，提高了诊断的准确性和严谨性，在一定程度上避免了输血不良反应的漏报、误报，也为制定省级输血不良反应统一标准奠定了基础。

Abstract:

ObjectiveTo retrospectively evaluate the adverse events of transfusions reported in 2017, and provide reference for the final formulation of classification criteria for adverse events of transfusion.MethodsA total of 192 cases of adverse blood transfusion events were reported from five tertiary hospitals in Shijiazhuang in Hebei Province in 2017. According to the clinical manifestations and changes of patients before and after transfusion, relevant laboratory tests data, the adverse events of transfusion were re-evaluated. The affirmation degree of response type,severity of the reaction,reaction and transfusion correlation, were evaluated and graded.ResultsAmong the 192 adverse events of transfusion, 116 cases of allergic transfusion reaction, 68 cases of non-hemolytic febrile reaction; 158 cases were confirmed, 31 cases were basically affirmed, 3 cases were suspected; 178 cases were not serious, 12 cases were serious, 2 cases were life-threatening; 14 cases were clearly related to reaction and blood transfusion, and 162 cases were likely to be related, and 16 cases may be related.Conclusion The adverse events of transfusion were classified according to the "affirmation degree", "severity degree" and "degree of relevance". The analysis and discussion from depth and breadth improved the accuracy and rigor of the diagnosis. To some extent, the adverse events of transfusion could be avoided. Missing reports and false positives also laid the foundation for the establishment of a unified standard for provincial blood transfusion adverse events.

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更新日期/Last Update: 2018-11-28