摘要
Abstract
Objective To explore the correlation between platelet antibodies,cross matching results,and ineffective platelet transfusion in patients with multiple myeloma.Method A retrospective analysis was conducted on 124 patients with multiple myeloma.The patients were divided into an effective group and an ineffective group based on whether platelet transfusion was effective.Among them,there were 100 cases in the effective group and 24 cases in the ineffective group.Compare the clinical data,platelet antibodies,and cross matching results of two groups of patients,and analyze the correlation between platelet antibodies,cross matching results,and ineffective platelet transfusion in patients with multiple myeloma,as well as the influencing factors of ineffective platelet transfusion.Result Factor analysis showed that splenomegaly(β=3.524,...),OR=3.933,95%Cl=7.047-13.397)、Heat generation(β=1.630,OR=5.102,95%Cl=1.389-18.744)、Platelet antibody positivity(β=2.114,OR=8.280,95%Cl=2.056-23.340)and cross matching positivity(β=1.548,OR=4.701,95%Cl=1.104-20.016)are both influencing factors for ineffective platelet transfusion in patients.Conclusion Positive platelet antibodies,cross matching,fever,and splenomegaly are independent influencing factors for ineffective platelet transfusion in patients with multiple myeloma.Clinical attention should be paid to patients with multiple myeloma who are accompanied by these influencing factors.关键词
血小板抗体/交叉配型/多发性骨髓瘤/血小板输注Key words
platelet antibodies/Cross matching/Multiple myeloma/Platelet infusion分类
医药卫生
