2597份临床输血病历用血合理性调查分析  

Review of 2597 cases of blood transfusion and evaluation of the appropriateness

作　　者：杨宝成[1] 孔令魁[1] 邵超鹏[1] 熊文[1] 周丹[1] 

机构地区：[1]深圳市血液中心,广东深圳518035

出　　处：《中国输血杂志》2008年第3期193-196,共4页Chinese Journal of Blood Transfusion

摘　　要：目的了解深圳市临床用血现状,提高临床合理用血水平.方法查阅2家三甲医院和1家二级医院2006年全年住院病人的输血病历,分析临床输血的合理性、各临床科室用血特点、"少量血"和"搭配血"输注状况。结果成分血中红细胞、血浆、血小板和冷沉淀的合理性输注比例分别为66.44%、24.65%、97.97%和61.29%;各大科室中内科系统红细胞、血浆、血小板和冷沉淀的合理性输注比例分别达到91.54%、51.85%、98.86%和100%;外科系统各成分输注合理性分别为50.22%、19.86%、89.58%和42.86%;不合理的"少量血"和"搭配血"比例分别达到47.05%和51.17%。结论内科系统对除血浆外的血液成分输注适应证掌握较好,而外科系统对输血指征的掌握欠佳。对血浆输注的随意性和习惯输注"搭配血"的现象说明临床医生合理用血的观念不强以及输注全血的陈旧观念依然存在。Objective To investigate the clinical use of blood in Sbenzhen, in order to make the blood transfusion more appropriate and safer. Methods The medical records of 2 597 blood transfusion receipts from 3 hospitals in 2006 were reviewed. The use of blood components in each department, unreasonable proscriptions of very small amount of blood transfusion, and the combined transfusion of RBC and plasma were analyzed. Results The proportion of reasonable transfusion of RBC, plasma, platelet concentrates and cryoprecipitate were 66.44%, 24. 65%, 97.97% and 61. 29%, respectively. These proportion were 91.54% , 51.85%, 98.86%, and 100%, respectively, in internal medicine department, and 50.22% , 19.86%, 89.58%, 42.86%, respectively, in surgery department. Unreasonable prescription of low-volume blood transfusion and the combined transfusion of RBC and plasma were 47.05% and 51.17%. Conclusion Except for plasma transfusion, the internal medicine departments did fairly well in blood component transfu- sion. Since the unreasonable transfusion still exists, the clinical doctors should be further trained in the appropriate use of blood, and get rid of the old practice of whole-blood-dependence.

关 键 词：合理输血 输血指征 输血适应证 病历调查 

分 类 号：R457.11[医药卫生—治疗学]