在血小板缺血患者的血小板输血后,影响纠正计数增加的因素
Dhananjay Prasad Sahu1, Minal Wasnik2, Pankaj K Kannauje3
1Transfusion Medicine, All India Institute of Medical Sciences, Raipur, Raipur, IND.
Cureus
|November 1, 2023
概括
通过校正计数增量 (CCI) 测量血小板输血反应,由于非免疫学因素,如败血症和发烧,在24小时内经常失败. 免疫因素,如SLE和ITP影响CCI在一个小时内.
科学领域:
- 血液学 血液学 血液学
- 输血医学 输血医学
背景情况:
- 血小板输血对于管理血小板缺血患者至关重要,无论是预防性还是治疗性.
- 通过校正计数增量 (CCI) 评估输血反应对于有效的患者管理至关重要.
研究的目的:
- 通过分析校正计数增量 (CCI) 来评估影响血小板输血成功的因素.
主要方法:
- 在接受血小板缩剂的60名患者中进行了前性观察性研究.
- 经校正的血小板数增加 (CCI) 使用输血前和输血后的血小板数在1小时和24小时计算.
- 不包括60岁以上的患者,多胎女性和化疗患者.
主要成果:
- 败血症,壮症,COVID-19,登革热,全身性红斑狼 (SLE),免疫性血栓塞性紫外线 (ITP) 和发烧与不成功的CCI有显著的关联.
- 急性白血病,活跃出血,扩散性血管内凝血病 (DIC),无性贫血 (AA) 和状细胞病 (SCD) 没有显示统计学意义.
结论:
- 在24小时内不成功的CCI与非免疫学因素有关,包括败血症,胀,COVID-19和发烧.
- 像SLE,登革热和ITP这样的免疫因素与输血后一小时不成功的CCI有关.
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