输血医师参与临床会诊的调查与分析  

Investigation and Analysis of Blood Transfusion Physicians Participating in Clinical Consultation

作　　者：张宇[1] 陈会欣[1] 王顺[1] ZHANG Yu;CHEN Hui-xin;WANG Shun(Department of Blood Transfusion,Wuhan No.1 Hospital,Wuhan 430002)

机构地区：[1]武汉市第一医院输血科

出　　处：《临床输血与检验》2019年第4期364-368,共5页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：武汉市卫生计生委医疗卫生科研资助项目（No.WX11C05）资助

摘　　要：目的分析输血医师参与院内输血相关会诊的案例,探讨输血医师运用输血专业知识参与临床输血治疗方案的制定与调整,更直接地融入临床,服务于临床.方法回顾性分析武汉市第一医院2016年6月~2018年10月输血医师参与院内会诊的住院病例,对患者基本情况、科室分布、会诊目的、会诊意见、医师建议是否采纳及患者疗效评估等进行统计和分析.结果290位患者共会诊304人次,涉及骨科、神经外科、肿瘤科等22个临床科室;会诊目的主要包括红细胞输注、DIC或纤溶亢进输血、输血治疗指导等9个方面;会诊意见采纳率为88.8%,其中采纳后有效治疗占69.7%,会诊采纳的有效治疗患者血常规、凝血指标有明显改善.结论输血医师对临床输血、出凝血管理、输血治疗的指导作用明显,在参与临床会诊中起到了积极的作用,极大的提升了输血相关治疗的有效性与合理性.同时,输血科作为一个向临床转型的科室,正逐渐被临床所认可.Objective This is to explore from the hospital transfusion physicians involved in transfusion-related cases of consultation to the use of blood transfusion expertise in the development of clinical transfusion therapy adjustment program,which more directly involved in the clinicalservice.Methods A retrospective analysis was made on the inpatients of Wuhan First Hospital who participated in in-hospital consultation from June 2016 to October 2018.The basic situation of patients,the distribution of departments,the purpose of consultation,consultation opinions,the adoption of doctors'suggestions and the evaluation of patients'efficacy were analyzed.Results 290 patients were consulted 304 times,covering 22 clinical departments such as orthopaedics,neurosurgery and oncology.The purpose of the consultation was mainly related to 9 aspects,such as red blood cell transfusion,DIC or hyperfibrinolysis transfusion,blood transfusion therapy guidance,etc.The rate of adoption of consultation advice was 88.8%,of which 69.7%were effective after adoption,and the blood treatment and coagulation indexes of the effective treatment patients were significantly improved.Conclusion Blood transfusion physicians play an important role in guiding clinical blood transfusion,coagulation management and transfusion therapy,and play an active role in participating in clinical consultation.It has greatly improved in the effectiveness and rationality of transfusion related treatment.At the same time,as a clinical transformation department,blood transfusion department is gradually recognized by clinical practice.

关 键 词：输血医师 红细胞输注 输血治疗 临床会诊 输血方案 

分 类 号：R457.1[医药卫生—治疗学]