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目的:探讨临床输血常见的不良反应,并提出相应预防对策。方法:该研究选取了2011年9月至2014年9月该院收治的6 040例进行输血治疗的患者作为研究对象,对所有患者的临床资料进行调查,总结分析患者出现的输血不良反应,并提出针对性的预防措施。结果:6 040例输血患者中有16例患者发生输血不良反应,输血不良反应发生率为0.26%。16例输血不良反应患者中,有9例输注冰冻血浆,有4例输注血小板,有2例输注红细胞,有1例输注冷沉淀。16例输血不良反应患者中,有10例为过敏反应,占62.5%;有3例为发热反应,占18.8%;有2例为肺损伤,占12.5%;有1例为溶血反应,占6.3%。结论:过敏反应、发热反应、肺损伤及溶血反应等为常见输血不良反应,临床输血过程中应加强输血防治工作开展,降低输血不良反应发生风险。
Objective: To investigate the common adverse reactions in clinical transfusion and to propose corresponding preventive measures. METHODS: Six hundred and forty patients admitted to our hospital from September 2011 to September 2014 were enrolled in this study. The clinical data of all patients were investigated. The adverse reactions of transfusion were summarized and analyzed. Proposed preventive measures. Results: Among 6 040 transfusions, 16 patients had transfusion adverse reactions and the incidence of adverse transfusion reactions was 0.26%. Of the 16 patients with adverse transfusion reactions, 9 were infused with frozen plasma, 4 received platelet transfusions, 2 received erythrocytes, and 1 received infusion of cryoprecipitate. Of the 16 patients with adverse transfusion reactions, 10 were allergic, accounting for 62.5%; 3 were fever, accounting for 18.8%; 2 were lung injury, accounting for 12.5%; 1 were hemolysis, accounting for 6.3% %. CONCLUSIONS: Allergic reactions, fever, lung injury and hemolysis are the common adverse reactions of transfusion. Transfusion prevention and treatment should be strengthened during clinical transfusion to reduce the risk of adverse transfusion reactions.