摘要
目的观察紧急用血方案在ABO疑难血型抢救应用的效果。方法对ABO正反定型不符、30 min不能准确确定血型、紧急状态急需输血的患者启动紧急相容性输血方案,观察启动紧急输血供血时限、输血不良反应发生情况、输血总量和患者的预后,以及患者血型确定后的输血方案。结果 2015年,累计6 279例需要输血治疗成人患者,15例患者出现正反定型不符,其中10例进行了紧急输血治疗。从输血申请核准到确定启动紧急用血方案平均时间为(23.31±7.54)min(17 min-45 min),从确定启动紧急输血方案到开始输血的平均时间为(26.77±13.36)min(23 min-40 min),平均输入O型红细胞量为(2.43±1.77)U(2 U-8 U),输血前Hb值为(52.22±11.11)g/L(31 g/L-66 g/L),输血后Hb为(61.40±11.13)g/L(42 g/L-74 g/L),10例患者均无溶血反应发生。结论应急输血方案可以安全应用于ABO疑难血型患者应急抢救。
Objective To observe the application of emergency blood utilization in difficult ABO blood typing. Methods Emergency blood transfusion was applied to patients with ABO incompatibility,whose blood types could not be determined within 30 minutes or in an urgent status. The period of blood provision,blood transfusion adverse reactions,and the amount of blood transfused were observed. Results From January 1st,2015 to December 31 st,among 6 279 cases of adult patients with transfusion of red blood cells,discrepancy was observed in 15 patients,and within which,10 patients needed emergency blood transfusion. The average time from application to the planning emergency blood transfusion was（ 23. 31 ±7. 54） min（ 17 min- 45 min）. The average time from planning blood application to initiation of blood transfusion was（ 26. 77 ± 13. 36） min（ 23 min- 40 min）. Ten patients were transfused with an average of（ 2. 43 ± 1. 77） u of O red blood cells（ 2 U- 8 U）. The average HB level increased from（ 52. 22 ± 11. 11） g / L（ 31 g / L- 66 g / L） to（ 61. 40 ± 11. 13） g /L（ 42 g / L- 74 g / L） after the emergency transfusion. No hemolysis was observed. Conclusion Emergency blood transfusion can be safely used in patients with difficult ABO blood types.
出处
《中国输血杂志》
CAS
北大核心
2016年第5期465-467,共3页
Chinese Journal of Blood Transfusion
关键词
疑难ABO血型
紧急输血
回顾性分析
difficult ABO blood type
emergency blood transfusion
retrospective analysis
