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临床输血与检验

临床输血与检验 ›› 2017, Vol. 19 ›› Issue (6): 564-566.DOI: 10.3969/j.issn.1671-2587.2017.06.010

• 临床输血 • 上一篇    下一篇

《特殊情况紧急抢救输血推荐方案》在临床中的应用

徐翠杰, 田蕊娜, 李瑞琴, 王亚勋, 包婷婷   

  1. 743000 甘肃省定西市医院输血科
  • 收稿日期:2017-03-15 出版日期:2017-12-20 发布日期:2017-12-13
  • 作者简介:徐翠杰（1971-）,女,吉林榆树人,副主任检验技师,主要从事临床输血工作,（Tel）13830234879（E-mail）1243764603@qq.com。

Clinical Implementations of the Emergency Rescue Transfusion Recommendations Special Cases

XU Cui-jie, TIAN Rui-na, LI Rui-qin, et al   

  1. Dingxi city,Blood Center of Gansu Provincial Hospital,Lanzhou 743000
  • Received:2017-03-15 Online:2017-12-20 Published:2017-12-13

PDF

747

被引次数

2

摘要： 目的 探讨《特殊情况紧急抢救输血推荐方案》（简称《推荐方案》）在疑难血型配血困难及抗体筛查阳性中的应用意义。方法 对血型鉴定困难及抗体筛查阳性且生命危急的患者,启动《推荐方案》中输血方案进行抢救,密切观察输血过程中的输血反应,并比较输血前及输血后1 d、7 d HB、HCT、TBIL、DBIL、IBIL的变化,评价临床疗效。结果 应用《推荐方案》紧急抢救输血的患者均得到及时救治,且未发生不良反应。结论 在疑难血型配血困难及抗体筛查阳性时,为抢救患者生命而及时有效的启动《推荐方案》是有必要的,有助于临床输血工作科学化、规范化,规避医疗风险。

关键词: 特殊情况, 推荐方案, 紧急抢救, 输血

Abstract: Objective To investigate the clinical utilization of the Emergency Rescue Transfusion Recommendations under Special Cases （ERTRSs ）and its significance in suspicious blood typing,cross-matching and antibody screening.Methods Patients in a critical condition and with suspicious blood cross-matching were given rescuing according to ERTRSs and adverse reactions following blood transfusion were closely monitored. Indicators of HB,Hct,TBIL,DBIL,and IBIL were analyzed 1d and 7 d before and after transfusion so as to evaluate its therapeutic effect. Results All of the patients presented an effective treatments following the ERTRSs and no significant side effects were seen. Conclusion It is necessary to implement ERTRSs timely for rescuing the patients with difficult blood cross-matching and interpretation of antibody screening and for avoiding medical risk.

Key words: Special case, Recommendation, Emergency rescue, Blood transfusion

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