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目的探讨凝聚胺交叉配血不合患者输血的安全管理和风险控制。方法 2015年10-11月通过建立健全完善输血管理规章制度,加强医务人员的专业和法律法规知识培训,提高医务人员临床输血知识水平和法律意识,使其充分认识输血风险。输用凝聚胺法交叉配血不相容血液前必须得到患方同意,签署各项知情同意书后方可实施输血治疗,输血时缓慢滴注,严密观察,一旦出现输血不良反应,立即停止输注并积极处理抢救。实行输血病历标准化书写管理,使输血医疗文书能够全面真实地反映输血全过程。结果 5例患者经原发疾病治疗和输血、对症治疗后病情好转,自觉症状减轻,无晕厥、心绞痛、胸闷症状,贫血改善,血红蛋白上升,最低者62 g/L,最高者102 g/L,未发生严重的输血不良反应和医疗纠纷。结论凝聚胺交叉配血不合患者输血相较于普通输血风险更高,只有做好系统性的安全管理和风险控制,才能提高输血疗效,减少输血风险,确保患者和医务人员的安全,避免医疗纠纷发生。
Objective To investigate the safety management and risk control of transfusion of polybrene cross-incompatible patients. Methods From October to November 2015, we improved the rules and regulations on blood transfusion management, strengthened professional training of medical personnel and knowledge of laws and regulations, and improved the knowledge and legal awareness of clinical transfusion among medical workers so that they fully understand the risk of blood transfusion. Transfusion coagulation amine cross-incompatible with blood before the consent of the patient must get consent before signing the consent of the consent of the implementation of blood transfusion, blood transfusion slow infusion, close observation, in the event of adverse reactions to transfusion immediately stop infusion And actively handle the rescue. The implementation of transfusion records standardized written management, blood transfusion medical instruments to fully and truly reflect the entire process of blood transfusion. Results The patients were treated with primary disease and blood transfusion. After symptomatic treatment, their symptoms improved, symptoms subsided, no syncope, angina pectoris, chest tightness, anemia improvement and hemoglobin rise. The lowest was 62 g / L, the highest was 102 g / L, No serious adverse transfusion reactions and medical disputes occurred. CONCLUSIONS: The blood transfusion of polybrene cross-incompatible patients is at a higher risk than that of ordinary blood transfusion, and only systemic safety management and risk control can improve transfusion efficacy, reduce the risk of blood transfusion, ensure the safety of patients and medical staff and avoid medical disputes occur.