武汉地区部分医院自体输血现状调查  

Investigation and analysis on the situation of autologous blood transfusion in Wuhan,China

作　　者：陈国安[1] 陆华新[1] 杨家宏[1] 张浩[1] 袁明超[1] 

机构地区：[1]武汉血液中心,湖北武汉430030

出　　处：《中国输血杂志》2014年第4期429-430,共2页Chinese Journal of Blood Transfusion

基　　金：武汉市卫生局公共卫生科研课题(编号:WG12B05)

摘　　要：目的调查和分析武汉市自体输血工作现状，探索促进本地区自体输血在临床中的应用办法。方法对2011-2012年本地区用血量前20家医院自体输血按病种开展情况及制约因素进行统计分析。结果回收式、稀释式和贮存式自体输血分别占94％、3％和3％。按病种分类主要应用于骨科手术（31％）、心脏手术（26％）、颅内手术（16％）、妇产科手术（8％）、血管手术（7％）、器官移植手术（3％）、肿瘤手术（2％）和其他类手术（6％）。且回收式自体输血在病种中开展例数最多：3311例回收式自体输血以骨科手术（32％）、心脏手术（27％）为主，肿瘤手术（1％）采用回收式自体输血最少。结论本地区自体输血工作呈上升趋势，卫生部门应制定系列措施，综合推进血液保护在各病种中的应用。Objective To investigate and analyze the situation of autologous blood transfusion in Wuhan,explore the application of local autologous blood transfusion in clinic. Methods Top 20 hospitals of the transfusion amount during 2011 to 2012 in Wuhan are chose for this study. The situation of autologous transfusion and their restrictive factors are collected for analysis on diseases categoris. Results The proportion of cell salvage, preoperative autologous donation （PAD）, acute normovolaemic haemedilution （ANH） are 3%, 94%, 3% respectively. As for specific diseases, orthopedics is 31%, cardiac is 26% ,intracranial is 16% ,obstetrics and gynecology are 8% ,vascular is 7% ,organ transplant is 3% ,tumor is 2% and others 6%. Cell salvage is the most commonly used and 3 311 cases were adopted in this study,of which,mostly are orthopedicsand cardiac （32% and 27% respectively）, and tumor is only 1%. Conclusion Measures and policies should taken out by health authorities to regulate and promote the application of autologous blood transfusion which is increasing in Wuhan.

关 键 词：自体输血 临床应用 病种 

分 类 号：R457.1[医药卫生—治疗学]