采血车采集血液错定血型的原因分析  

Analysis of the causes of wrong blood typing results in blood donating bus

作　　者：孙淑芳 

机构地区：[1]青岛市中心血站,山东青岛266071

出　　处：《中国现代医生》2016年第7期110-112,121,共4页China Modern Doctor

摘　　要：目的分析采血车初筛ABO血型与实验室确认不符产生的原因,采取相应的措施预防血型错定。方法对青岛地区2012～2015年无偿献血者出现错定血型的原因进行统计分析。结果 155例血型不符中工作人员责任心不够导致误判占69.0%,贴错标签占4.5%,交叉污染占7.8%,留错血样占1.3%,不规则抗体和ABO亚型占17.4%。结论人为因素是导致血型不符的主要原因,加强工作人员的责任心,定期培训,提高质量意识,严格按照操作规程初筛血型,降低血型错定率,保证血液质量与安全。Objective To analyze the causes of inconsistency of blood typing results from blood donating bus and laboratories. Corresponding measures can be taken to prevent wrong blood typing. Methods The causes of wrong blood typ ing results in Qingdao between 2012 and 2015 were analyzed statistically. Results Among total 155 wrong typing cases,lower responsibility, wrong labels, cross contamination of samples, wrong blood samples, irregular antibodies and ABO subtype accounted for 69.0%, 4.5%, 7.8%, 1.3% and 17.4% respectively. Conclusion Subjective factors is the major cause of blood typing discrepancy. Regular training on responsibility and techniques, strengthening quality consciousness, abiding by standard operating procedures of blood typing strictly are the key measures in reducing wrong typing rate and ensuring blood quality and safety.

关 键 词：无偿献血 血型不符 原因分析 预防措施 

分 类 号：R446.6[医药卫生—诊断学]