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手术室疑似温差致一过性输液反应21例分析

李么琴 何卓文 郭雅梅

国际医药卫生导报2016,Vol.22Issue(1):118-120,3.
国际医药卫生导报2016,Vol.22Issue(1):118-120,3.DOI:10.3760/cma.j.issn.1007-1245.2016.01.042

手术室疑似温差致一过性输液反应21例分析

Analysis of 21 cases of transient transfusion reaction during operation caused by temperature difference

李么琴 1何卓文 1郭雅梅1

作者信息

  • 1. 526020 肇庆市第一人民医院手术室
  • 折叠

摘要

Abstract

Objective To investigate the causes of transient transfusion reaction during operation and develop measures to avoid the occurrence of it.Method Retrospectively analyzed clinical materials of 21 cases of transient transfusion reaction in operating room, including types of injection, clinical manifestations, treatment process and effect.Results Lactated Ringer's solution was used in 13 cases, normal saline was used in 5 cases, and isotonic glucose solution was used in 3 cases.Transient transfusion reaction occurred in 2-15 minutes after transfusion in 21 cases, with major clinical symptoms of flushing, chest distress, and rash, these symptoms completely remitted after oxygen inhalation, intravenous injection of dexamethasone, and replacement of injection and tube.Above clinical symptoms also remitted in 2-15 minutes in 5 cases without treatment.After raising the room temperature, transient transfusion reaction failed to be observed in 460 patients.Conclusion We should improve the environment and temperature control in operating room, the storage of operative liquid and transfusion procedure to decrease the occurrence of transient transfusion reaction.

关键词

手术室温度控制/一过性输液反应/温差

Key words

Temperature control in operating room/Transient transfusion reaction/Temperature difference

引用本文复制引用

李么琴,何卓文,郭雅梅..手术室疑似温差致一过性输液反应21例分析[J].国际医药卫生导报,2016,22(1):118-120,3.

国际医药卫生导报

1007-1245

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