济源市24家医院手术与非手术用血情况分析  

Analysis of Surgical and Non-surgical Blood Transfusion in 24 Hospitals in Jiyuan City

作　　者：葛云萍[1] 齐涛[1] 李争艳[1] 王薇[1] GE Yun-ping;QI Tao;LI Zheng-yan;WANG Wei(Jiyuan blood center blood bank,Jiyuan 459000)

机构地区：[1]河南省济源市中心血站供血库,459000

出　　处：《临床输血与检验》2018年第2期124-126,共3页Journal of Clinical Transfusion and Laboratory Medicine

摘　　要：目的分析2014年济源市各级医院手术与非手术用血情况,旨在进一步加强临床用血管理。方法医院包括三级1家、二级8家、一级15家。对各级医院住院人数、手术人数、手术用血量及总用血量,手术与非手术输注各血液成分情况,三级医院(手术、其他非手术)各成分用血量进行统计。结果全市手术用血占总用血量55.8%,血浆、红细胞、冷沉淀、血小板输注率分别为49.1%、46.3%、3.1%和1.5%。三级医院临床用血占全市总量的57.7%,其中手术、急诊、ICU及非手术用血各占52.3%、4.5%、16.8%和27.4%。二级、一级医院用血分别占全市总量的40.3%、1.9%。结论各级医院手术血小板输注量偏低,二级及以下医院手术血浆用量较多,说明临床医生对血液品种及特性不够了解;应加强管理指导,确保临床输血科学合理。Objective To analyze the total blood consumption for surgical and non-surgical use in hospitals at all levels in Jiyuan.Try to implement a further strengthened management on blood for clinical use.Method Divided hospital into 3 levels,including one tertiary,eight secondary,and fifteen primary.Then made statistical analysis on four following factors:the inpatients and surgery operation numbers,surgical and total consumption of blood,the blood constituent condition of surgical and non-surgical infusion as well as the blood consumption of each constituent in tertiary hospital(surgery and non-surgery).Result The blood usage for surgery occupies 55.8% of total blood consumption of the whole city,among which the infusion rate of plasma,erythrocytes,cryoprecipitate and platelet are 49.1%,46.3%,3.1% and 1.5%respectively.The blood consumption of tertiary hospital for clinical use accounts for 57.7% of total city blood consumption,among which blood usage for surgery,emergency treatment,ICU and non-surgical use are 52.3%,4.5%,16.8% and 27.4%respectively.The blood consumption of secondary and primary hospitals occupies 40.3% and 1.9% of the whole consumption.Conclusion The infusion rate of platelet for hospitals at all levels appears to be low while secondary and primary hospitals use extra plasma for surgery.It indicates that clinicians are not familiar with varieties and properties of blood,thus management and instruction shall be enhanced to ensure scientific and reasonable blood transfusion.

关 键 词：济源市 各级医院 手术用血 合理输血 

分 类 号：R457.1[医药卫生—治疗学]