Investigation of the clinical features and influencingfactors of adverse transfusion reactions
Objective To analyze the clinical features and influencing factors of adverse blood transfusion reactions.Methods A total of 3 127 patients who received blood transfusion during Jan.and Dec.2015 were selected.The blood types,clinical features and related risk factors of those who had adverse transfusion reactions were analyzed.Results The rate of adverse transfusion reaction,anaphylaxis,and exothermic reaction was 0.512％(16/3 127),0.352％(11/3 127),and 0.160％(5/3 127),respectively.No hemolytic reaction and other adverse transfusion reactions occurred.Apheresis platelet(0.288％),erythrocyte suspension(0.160％)and plasma(0.064％)were the top three blood types that caused adverse transfusion reactions,and there was significant difference(P<0.05).The incidence of adverse transfusion reactions among patients under 18 and with history of blood transfusion or allergy was higher than those above 18 and without history of blood transfusion or allergy(P<0.05).The incidence of adverse transfusion reactions in patients with hematopathy was higher than that in patients without hematopathy(P<0.05).The incidence of adverse transfusion reactions in children with haematological diseases was higher than that in adults(P<0.05).Conclusion Clinical blood transfusion has certain risks.Patients under 18,with history of blood transfusion or allergy should be closely observed to prevent the occurrence of adverse transfusion reactions.To reduce the adverse reactions,leucocyte filter is an effective device.
NETL
NSTL
万方数据
维普
