绵阳市2004~2007年血液报废原因调查与分析  

Survey of causes for blood discarding in Mianyang City from 2004 to 2007

作　　者：文秀琼[1] 汪青山[1] 黄梅[1] 何敏[1] 张书蓉[1] 

机构地区：[1]四川省绵阳市红十字中心血站,621000

出　　处：《检验医学与临床》2008年第13期774-776,共3页Laboratory Medicine and Clinic

摘　　要：目的了解血液在采集、检测、制备、贮存过程中引起报废的原因，为以后的操作提供参考。方法对报废血液分项目、分类别进行统计，分析血液报废的各种原因。结果2004-2007年血液报废量分别为3876．90、4407．50、5757．90和9599．25U。报废原因：（1）丙氨酸氨基转移酶、丙型肝炎病毒抗体、人类免疫缺陷病毒抗体（初筛）、乙型肝炎表面抗原、梅毒抗体检测不合格，特殊抗体等；（2）絮状物、脂肪血、黄疸、不足量、溶血、血袋破损、热合不严密、外观不合格等。结论采血前核查献血者既往信息，规范血液采集、分离、运输、质控抽检等各环节操作，可有效控制血液报废，减少血液浪费。Objective To discuss the causes of blood discarding that occurrs in our blood center, and also to provide beneficial reference for the future daily practice. Methods The causes of blood discarding from 2004 to 2007 were classified and analyzed statistically. Results The annual volume of discarded blood from 2004 to 2007 was 3 876.90,4 407.50, 5 757.90 and 9 599.25 U respectively. There were mainly two reasons for blood discarding. Firstly, blood was serologically abnormal, such as ALT elevation, anti-HCV antibody positive, anti-HIV antibody positive （preliminary screening）, HBsAg positive, SYP disqualification and irregular antibody positive. Secondly, floccule, fatty blood, jaundice, blood volume insufficiency, hemolysis, blood bag breakage, blood bag ill-sealed, and appearance disqualification could also result in blood discarding. Conclusion The blood center can reduce blood discarding by checking the previous information of blood donors, standardizing operation procedure in the period of blood collection, detection, preparation and storage so as to control blood discarding and reduce blood waste.

关 键 词：血液保存 质量控制 丙氨酸转氨酶 肝炎抗体 丙型 

分 类 号：R457-31[医药卫生—治疗学]