898例临床输血病历合理性分析  

Analysis of the Rationality of Clinical Blood Transfusion in 898 Medical Records

作　　者：贾福苏[1] 陈进凡[1] 李萍[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2017年第5期60-62,共3页Western Journal of Traditional Chinese Medicine

摘　　要：目的:随机抽查已输血病历,分析不合理输血原因,以提高临床合理输血水平。方法:查阅某三甲中医院2014年1月以来输血病历898份,以卫生部2000年颁布的《临床输血技术规范》指南为标准,统计分析输血的合理性。结果:1)全血、血小板、成分血红细胞悬液(包括洗涤红细胞)、血浆符合合理性输血比例分别为:66.4%、61.8%、72.5%、40.6%;2)骨科系统全血、血小板、红细胞悬液(包括洗涤红细胞)、血浆分别为:71.3%、82.6%、64.7%、48.6%;3)内科系统全血、血小板、红细胞悬液(包括洗涤红细胞)、血浆分别为:86.8%、84.8%、76.5%、55.6%;4)外科系统全血、血小板、红细胞悬液(包括洗涤红细胞)、血浆分别为:46.7%、57.8%、47.7%、40.4%;5)不合理输血中输"少量血"和"搭配血"比例为38.5%、4.8%;6)全年医院全血输血量为12 800 m L,悬浮红细胞9 416υ,血浆为1 964 000 m L,成分输血率占98.8%。结论:成分输血得到全面推广,内科系统输血指征掌握较好;外科系统、骨科系统输血指征掌握情况有待提高,血浆输注过多造成血浆资源浪费,应引起重视。Objective： To choose randomly and analyze the medical records in which the patients accepted blood transfusion, find out the reasons of unreasonable blood transfusion and improve the level of rational blood transfusion in clinic. Methods： All 898 patients who accepted blood transfusion since January, 2014 in Gonsu Provincial Hospital of Traditional Chinese Medicine were consulted, and the rational conditions of blood transfusion were statistically analyzed by taking the guide of Technical specification for clinical transfusion published by the Ministry of Health in 2000. Results： 1） the proportions of whole blood, blood platelet, red blood cell suspension （including washed red blood cells）, plasma meeting rational blood transfusion were 66.4%, 61.8%, 72.5% and 40.6% respectively; 2） the proportions of whole blood, blood platelet, red blood cell suspension （including washed red blood cells）, plasma in orthopedic department were 71.3%, 82.6%, 64.7% and 48.6% respectively; 3） the proportions of whole blood, blood platelet, red blood cell suspension （including washed red blood cells）, plasma in internal medicine department were 86.8%, 84.8%, 76.5% and 55.6% respectively; 4） the proportions of whole blood, blood platelet, red blood cell suspension （including washed red blood cells）, plasma in surgical department were respectively 46.7%, 57.8%, 47.7% and 40.4% ; 5） The proportions of ＂a small amount of blood＂ and ＂matching blood＂ were 38.5% and 4.8% among irrational blood transfusion; 6） The amount of blood transfusion in the whole year was 12 800mL, red blood cells suspension was 9 416 v, plasma was 1 964 000mL, component blood transfusion rate held 98,8%. Conclusion： Component blood transfusion has been completely spread, the mastering of transfusion triggers of internal medicine system are good; the mastering of transfusion triggers of surgical department and orthopedic department needs to be improved, more infusion of plasma could cause the waste of plasma and should draw

关 键 词：成分输血 输血指征 输血适应症 

分 类 号：R457[医药卫生—治疗学]