血液制品辐照对患者可能产生的并发症的评价

Hatice Terzi, M. İnanir, Hüseyin Yilmaz, İlkay Yurtsever, M. Sencan
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引用次数: 0

摘要

背景:输血不是简单的输液,而是器官移植,在各种医疗条件下,输血是一种挽救生命但高风险的手术。虽然输血可以挽救生命,但也可能导致严重的、危及生命的反应。如今,随着血液制品白细胞含量的减少或其辐照程度的降低,反应的次数明显减少。材料与方法:选取2020年8月14日至2023年2月17日在我院接受辐照血液制品治疗的患者5582例为研究对象。红细胞悬浮液、血小板分离液和混合血小板悬浮液以25-30 Gy的剂量照射。结果:本研究共辐照了5582份血液制品,其中红细胞悬浮液4990份,合并血小板悬浮液282份,血小板分离310份。本研究中未发现任何患者存在与输血相关的移植物抗宿主病,仅有轻度过敏反应和发热性非溶血性输血反应。结论:根据本文获得的数据,可以得出结论,血液制品辐照可以预防与输血相关的高致命性移植物抗宿主病。
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EVALUATION OF POSSIBLE COMPLICATIONS OF IRRADIATION OF BLOOD PRODUCTS ON PATIENTS
Background: Blood transfusion is a life-saving but high-risk procedure in various medical conditions as it is not a simple fluid infusion but an organ transplant. Although blood transfusions save lives, they may cause serious, life-threatening reactions. Nowadays, the number of reactions has decreased significantly with the reduction of leucocyte content of blood products or their irradiation. Materials and Method: A total of 5582 patients who received irradiated blood products in our hospital between 14/08/2020 and 17/02/2023 were included in the present study. Erythrocyte suspension, platelet apheresis, and pooled platelet suspension were irradiated at doses of 25–30 Gy. Results: A total of 5582 blood products including 4990 erythrocyte suspensions, 282 pooled platelet suspensions, and 310 platelet apheresis were irradiated in the present study. No transfusion-associated Graft Versus Host Disease was identified in any patient included in the present study and there were only mild allergic reactions and febrile non-hemolytic transfusion reactions. Conclusions: Based on the data obtained here from, it was concluded that irradiation of blood products can prevent the highly fatal transfusion-related Graft Versus Host Disease.
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