Report on ABO-Incompatible Transfusions in 12 University Hospitals in Kinki Districts.
Report on ABO-Incompatible Transfusions in 12 University Hospitals in Kinki Districts.
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近畿地区 12 所大学医院 ABO 血型不合输血报告。
DOI：
10.3925/jjtc1958.46.17
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
M. Oshida
中科院分区：
文献类型：
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作者：
Y. Kurata;T. Kiyokawa;H. Aochi;K. Nagamine;S. Hayashi;M. Oshida
我们调查了从1993年到1997年5年期间，在近畿地区的12所大学医院中ABO血型不合输血的发生率和原因。5年内，输注了648，553单位的红细胞成分（RBC）和2，545，880单位的新鲜冷冻血浆（FFP）或浓缩血小板（PC），共发生26例ABO血型不合输血。17例输注不相容的红细胞，9例输注FFP或PC。在红细胞输血的情况下，一半的错误（8例）是由于血液单位的错误识别，另一半的错误（8例）是由于不正确的打字。26例错误中有20例发生在夜班，大多数错误发生在病房（17例）或手术室（5例）。在参与的大学采取了各种措施防止ABO血型不合的输血。我们的结论是，持续的数据收集和分析是必要的，以防止ABO血型不合输血。
We investigated the incidence and the causes of ABO-incompatible transfusion in 12 university hospitals in the Kinki district during the 5-year period from 1993 through 1997. Over 5 years, 648, 553 units of red cell components (RBC) and 2, 545, 880 units of fresh frozen plasma (FFP) or platelet concentrate (PC) were transfused, and a total of 26 ABO-incompatible transfusions occurred. Incompatible RBC were transfused to 17 patients and FFP or PC were transfused to the remaining 9 patients. In cases of RBC transfusion, half of errors (8 cases) were due to misidentification of blood units and the other half of errors (8 cases) were due to incorrect typing. Twenty of 26 errors occurred during night shifts and the majority of errors occurred in the ward (17 cases) or operating room (5 cases). Various measures were taken to prevent ABO-incompatible transfusion at the participating universities. We conclude that continued data collection and analysis are necessary to prevent ABO-incompatible transfusion.