Thực trạng và tai biến truyền máu sớm tại Bệnh viện Trẻ em Hải Phòng

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Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2020

Mô tả vật lý: tr.288

Bộ sưu tập: Báo, Tạp chí

ID: 322356

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Mục tiêu: Mô tả thực trạngvà tai biến truyền máu tại Bệnh viện Trẻ em Hải Phòng. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 825 bệnh nhi với 2309 lượt truyền máu. Kết quả: Có 5 loại chế phẩm máu đã được truyền với tổng thể tích 308.295 ml, khối hồng cầu là chế phẩm được sử dụng nhiều nhất với 227.260 ml (73,72). Tất cả chế phẩm máu đều có nhóm máu Rh (+). Nhóm máu O gặp nhiều nhất (348/825). Thalassemia là bệnh được truyền máu nhiều nhất với 145.370 ml (47,15%). Tỷ lệ tai biến truyền máu sớm là 2,25% (52/2.309), trong đó sốt: 59,62% (31/52)
mẩn ngứa: 38,46% (20/52)
sốc: 1,92% (1/52). Không có sự khác biệt về tỷ lệ tai biến xảy ra khi truyền khối hồng cầu, khối tiểu cầu, huyết tương tươi đông lạnh. Nhóm tuổi 6-10 gặp tai biến nhiều nhất (21/52). Không có sự khác biệt về tỷ lệ giữa nam và nữ. Tai biến xảy ra nhiều nhất ở bệnh nhi truyền máu trên 2 lần: 84,62% (44/52). Kết luận: Khối hồng cầu được sử dụng nhiều nhất. Tất cả chế phẩm máu đều có nhóm máu Rh (+). Nhóm máu O được truyền nhiều nhất. Thalassemia là nguyên nhân hàng đầu trong truyền máu. Nhóm tuổi 6-10 có số ca tai biến nhiều nhất. Sốt là tai biến thường gặp nhất. Tai biến xảy ra khi truyền khối hồng cầu, khối tiểu cầu, huyết tương tươi đông lạnh. Bệnh nhi được truyền máu trên 2 lần có tỉ lệ tai biến cao hơn.Objective: To describe the situation and complications of blood transfusions at Haiphong Children’s Hospital. Method: Descriptive cross-sectional study including825 patients with 2,309 blood transfusions. Results: There were 5 types of blood products transmitted, using red blood cells had the highest percentage with 73.72% (227,260ml)
there was no case of whole blood transfusion. All blood products were Rh(+). Patients with blood type O had the highest number (348/825). Thalassemia was the leading cause of blood transfusions with a total of 145.370 ml of blood products (47.15%). The rate of early complications was 2.25% (52/2,309), as follows: fever 59.62% (31/52). allergies 38.46% (20/52), shock 1.92% (1/52). Complications occured in red blood cell, fresh frozen plasma, and platelet transfusions. The age group of 6 to 10 years had the highest number of transfusion complication cases (21/52). There was no difference in complications between male and female. Patients receiving blood transfusions more than twice had the higher rate of blood transfusion complications (44/52). Conclusion: Red blood cells were the most used product. All transfused blood products were Rh (+). Patients with O blood group were the most common. Thalassemia was the leading cause of blood transfusions. The age group from 6 to 10 years old had the highest number of complication cases. Fever was the most common reaction. Complications occured in red blood cell, fresh frozen plasma, and platelet transfusions. Blood transfusion complications occur more often in patients receiving blood transfusions before.

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