电子交叉配血在东莞市三级医院的临床应用调查分析  

Application of electronic crossmatch in clincal in Dongguan city,China

作　　者：何子毅[1] 车嘉琳[1] 祁妙华[2] 陈寿云 李志平 谭少华 章小东[6] 吴远军[7] 邹文涛[1] 李伟其[2] 张伟军 

机构地区：[1]东莞市中心血站,广东东莞523930 [2]东莞市人民医院 [3]东莞市第三人民医院 [4]东莞市第五人民医院 [5]东莞市中医院 [6]东莞市厚街医院 [7]东莞东华医院

出　　处：《中国输血杂志》2017年第8期920-923,共4页Chinese Journal of Blood Transfusion

摘　　要：目的了解电子交叉配血在东莞市医院的临床应用情况。方法课题研究组制定《电子交叉配血试运行调查表》(简称《调查表》)对东莞市试运行电子交叉配血的6家三级医院应用情况和效果做调查分析,被调查医院输血科填写对2015年7月1日-2016年4月30日期间使用电子交叉配血的模式、受血者及献血者ABO/Rh D血型鉴定、电子发血量、溶血性输血不良反应、开展电子交叉配血前后多因素的影响情况,要求《调查表》填写不缺项不漏项;对收回的《调查表》汇总分析。结果发放的6份《调查表》均有效收回,6家试运行电子交叉配血的医院中,有4家采取同步模式(血型血清学交叉配血+电子交叉配血),2家采取单作模式(只作电子交叉配血);6家医院在9个月内共完成31 941(人)次电子交叉配血,其中同步模式占94.06%(30 045/31 941),其2种交叉配血结果一致,单作模式占5.94%(1 896/31 941);2种模式的电子交叉配血完成后,红细胞(成分)制品被直接发放到临床输注,未收到临床用血科室发生溶血性输血不良反应的报告。输血前医院对献血者ABO/Rh D血型复核结果与血袋标签血型一致率为100%(36 952/36 952)。6家医院开展电子交叉配血后,输血科发血时间、工作强度、工作人员紧张情绪等均有明显改善。结论电子交叉配血确保了安全有效输血,具有缩短输血科发血时间、减轻输血科工作人员的劳动强度等明显优势,值得在临床推广。Objective To analyze the trial operation of electronic crossmatch in the hospitals of Dongguan city. Meth- ods The questionnaire of the trial operation of electronic crossmatch was established and sent to 6 tertiary hospitals which were in the trial operations of electronic crossmatch. Crossmatch mode, quantity of issued blood, hemolytic transfusion reactions, ABO/RhD group of donor and recipient, and influencing factors before and after trying out electronic crossmatch, were investigated from July 1, 2015-April 30, 2016. After being filled in by the Department of Blood Transfusion of each hospital, the questionnaires were collected and analyzed. Results All six questionnaires issued were effectively withdrawn.4 of the 6 hospitals took the synchronous mode （blood group serology crossmatch and electronic crossmatch） , and 2 hospitals took the single mode （only electronic crossmatch）. 31 944 times of electronic crossmatch were completed in the 6 hospitals in the trial period （9 months）, the synchronization mode were 94.06% （30 045/31 941 ）, the results of the synchronization mode were consistent, Single mode was 5.94% （ 1 896/31 941 ）. After two modes electron crossmatch was completed, the RBC （compo- nent） products were directly issued to the clinic.There were no hemolytic transfusion reactions occurred. The consensus rate of donors＇ ABO/RhD blood group was 100% （36 952/36 952） before transfusion.The blood issue time, working intensity, and staff tension were significantly improved after electronic crossmatch were used. Conclusions The electronic crossmateh can ensures the safe and effective of transfusion, which has obvious advantages such as shortening blood issue time, and re- ducing the labor intensity.

关 键 词：电子交叉配血 临床应用 安全输血 有效输血 东莞市 

分 类 号：R457.11[医药卫生—治疗学]