Hoeltge G A, Sharp D E
Department of Blood Banking, Cleveland Clinic Foundation, One Clinic Center, Ohio 44195.
Cleve Clin J Med. 1990 Jun;57(4):396-8. doi: 10.3949/ccjm.57.4.396.
Many patients express concern about the risk of an infection from blood transfusion. Blood transfusion is one of the safest therapies available, but its risks should never be trivialized when talking with patients. The most common infectious complication is hepatitis C, which occurs in 2% to 4% of transfused patients. Hepatitis B occurs in fewer than 1% of such patients. The risk of HIV infection from a blood transfusion is less than 1 in 100,000 in the United States. Explanation of risks is most effective when comparisons are meaningful and phrased from the patient's point of view.
许多患者对输血感染风险表示担忧。输血是现有最安全的治疗方法之一，但在与患者交谈时，其风险绝不能被轻视。最常见的感染并发症是丙型肝炎，发生在2%至4%的输血患者中。乙型肝炎发生在不到1%的此类患者中。在美国，输血感染艾滋病毒的风险低于十万分之一。当比较有意义且从患者角度表述时，对风险的解释最为有效。
