Dhidah K, Benchemsi N
Laboratoire d'hématologie, CHU Ibn-Rochd, Casablanca, Maroc.
Transfus Clin Biol. 2007 Nov;14(5):440-5. doi: 10.1016/j.tracli.2007.12.006. Epub 2008 Mar 4.
The complications that may arise in connection with a blood donation are usually benign. These complications can lead to disaffection for the donation. The purpose of this study is to determine the incidence of complications occurring during or shortly after blood donation and to identify factors that contribute to its occurrence.
A prospective study of 10 December 2005 to 09 June 2006 is conducted at the Regional Center for Blood Transfusion in Casablanca (Morocco) on the complications seen in 23 745 donors.
During the study period, 23 745 samples were made and 122 complications were collected (0.51%). One hundred and sixteen (95%) complications of a general: 81 vagal malaise, 20 syncopations, two syncopations convulsivantes and three tetany. Seventy-three (63%) donors presented hypotension. Complications are more common in men than in women: 71 versus 45 (p < 0.001); patients give for the first time than to Former donors: 82 versus 34 (p < 0.001); donors have age less or egal to 30 years compared with than with age over 30 years: 78 versus 38 (p < 0.001). Eighty-two complications (71%) were observed among donors with weight more than 70 kg.
In this study, the incidence of the complications for blood donation remains lower. The best choice of the donors by the doctor, taking into consideration the factors involved in these complications, reduces this incidence.
与献血相关的并发症通常是良性的。这些并发症会导致对献血产生不满。本研究的目的是确定献血期间或献血后不久发生并发症的发生率,并找出导致其发生的因素。
于2005年12月10日至2006年6月9日在卡萨布兰卡(摩洛哥)的地区输血中心对23745名献血者出现的并发症进行了一项前瞻性研究。
在研究期间,共采集了23745份样本,收集到122例并发症(0.51%)。其中116例(95%)为一般并发症:81例迷走神经不适、20例昏厥、2例惊厥性昏厥和3例手足搐搦。73例(63%)献血者出现低血压。并发症在男性中比在女性中更常见:分别为71例和45例(p<0.001);首次献血者比既往献血者更常见:分别为82例和34例(p<0.001);年龄小于或等于30岁的献血者比年龄大于30岁的献血者更常见:分别为78例和38例(p<0.001)。在体重超过70kg的献血者中观察到82例并发症(71%)。
在本研究中,献血并发症的发生率仍然较低。医生根据这些并发症相关因素对献血者进行最佳选择可降低该发生率。