儿科患者的输血反应;来自第三级医院的血液监测数据
Fatma Durak1,2, Özlem Tezol2
1Blood Center, Mersin University Hospital, 33110 Mersin, Turkey.
Children (Basel, Switzerland)
|December 30, 2025
概括
在儿童中,与输血相关的不良反应 (TRs) 最常见的是过敏或发烧性非血液溶解性. 实施血液监测系统对于改善患者安全和有效管理这些输血反应至关重要.
科学领域:
- 儿科血液学 儿科血液学
- 输血医学 输血医学
- 患者安全 患者安全
背景情况:
- 与输血相关的不良反应 (TRs) 是儿科护理的一个重大问题.
- 监测和报告TRs对于改善输血安全至关重要.
- 了解儿童群体中TRs的发病率和类型对于有针对性的干预措施至关重要.
研究的目的:
- 确定儿科患者输血相关不良反应的发生率和特征.
- 确定与儿童不同血液成分相关的最常见的TRs类型.
- 评估血液监测报告系统在追踪TRs.中所扮演的角色.
主要方法:
- 来自默辛大学医院血液中心数据的回顾性分析 (2017年8月 - 2024年8月).
- 包括接受过输血并通过血液监测系统记录了TRs的儿科患者.
- 对患者和反应特征的描述性统计分析.
主要成果:
- 在儿科患者中观察到总体TR发生率为每10,000个输血单位1.12个.
- 红细胞度,新鲜血和血小板度显示出不同的TR率 (分别为每10,000单位0.84,1.11,2.04).
- 轻度过敏反应 (64.7%) 和发烧性非溶血性输血反应 (17.6%) 是最常见的TR类型.
结论:
- 过敏和发烧性非血液溶解反应是儿科患者的主要TRs.
- 有效的血液监测系统对于分析和改善输血反应的管理至关重要.
- 加强血液警对于在输血医学中制定预防和纠正策略至关重要.
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