2010-2012年广州市无偿献血血液报废情况分析  

Reasons for discarding blood in the Guangzhou Blood Center, during 2010-2012

作　　者：徐国胜[1] 黄可君[1] 游冉冉[1] 

机构地区：[1]广州血液中心,广东广州510095

出　　处：《热带医学杂志》2013年第6期756-758,共3页Journal of Tropical Medicine

摘　　要：目的对近年广州市无偿献血血液报废情况进行分析,探讨降低血液报废率的措施,以减少血液浪费。方法收集广州血液中心2010-2012年所有血液采集制备信息和血液报废的信息,使用统计软件进行整理分析。结果共采集制备血液2827955U,报废179794U,报废率为6.35%;感染性不合格血液导致的报废占总报废量的64.79%,是血液报废的主要原因。感染性不合格血液报废率由高到低依次为ALT(2.12%)>HBV(0.85%)>梅毒(0.53%)>HCV(0.49%)>HIV(0.12%);非感染性不合格原因的报废占总报废量的35.20%,报废率由高到低依次为乳糜血(1.63%)>过期血(0.27%)>血袋破裂和渗漏(0.16%)>其他(0.08%)>溶血(0.06%)>血凝块(0.01%)>纤维蛋白析出(0.005%)。结论血液报废的主要原因是感染性标志物阳性导致的血液不合格。做好献血前的征询和宣传,进行ALT初筛,加强献血知识普及和献血前注意事项的告知,对降低血液报废率,加强血液安全有重要意义。Objective To determine the rate of discard of blood and blood component and identify its reasons at the Guangzhou Blood Center, during the period of 2010-2012, and thus to provide suggestions to reduce the rate of discard and improve the efficiency of the blood transfusion services （BTS）. Methods The data on the number of discarded whole blood units and its components, reasons for discard, and the number of blood components processed as well as the number of collected blood units were obtained from the Guangzhou Blood Center Information System and analyzed. Results The total number of whole blood and blood component collected and prepared in 2010-2012 was 2 827 955 U. The total number of discarded whole blood units and its components was 179 794 U （6.35%）. The main reason for discarding these blood units was the positive detection of different transfusion transmissible infections （TTIS） （64.79%）, followed by other reasons （35.20%）. Conclusion Blood safety still depends highly on open and honest answering of the screening questions.In order to reduce the rate of blood discarding , we must enhance the blood donation knowledge and counseling services to the pubic before blood donation.

关 键 词：无偿献血 血液报废 

分 类 号：R446.11[医药卫生—诊断学]