长沙地区2016年996例妇幼输血病例调查分析  

Blood Transfusion in Women and Children:Investigation and Analysis of 996 Cases in Changsha in 2016

作　　者：王清[1] 邹彬彬[1] 曹秋平[2] 谢毓滨[1] WANG Qing;ZOU Bin-bin;CAO Qiu-ping;XIE Yu-bin(Blood Transfusion Laboratory,Changsha Blood Center,Changsha 410001,China;Science and Education Information Section,Changsha Blood Center,Changsha 410001,China)

机构地区：[1]长沙血液中心输血研究室,长沙410001 [2]长沙血液中心科教信息科,长沙410001

出　　处：《实用临床医学（江西）》2019年第8期92-95,共4页Practical Clinical Medicine

基　　金：长沙科技局科技项目(K1203053-31)

摘　　要：目的了解临床妇幼输血现状,为临床妇幼患者科学、合理用血提供依据。方法采用回顾性调查方法,对2016年长沙地区妇幼输血病历进行分析。结果妇幼输血病例996例,其中690例输注红细胞类产品,总输注量为1 533.26 U;96例输注血浆产品,总输注量为25 819.50 mL;23例输注机采血小板,总输注量为21.95个治疗量;186例输注冷沉淀,总输注量为234.68 U。输血科室由高到低的依次为:新生儿科占35.24%,妇科占26.81%,麻醉科占15.06%,产科13.25%,产房占6.12%,ICU占2.61%,普儿科占0.40%,乳腺外科占0.30%,手术室占0.20%。成人输血疾病种类前3位分别为内科贫血(27.06%)、产后出血(16.13%)、子宫肌瘤及子宫腺肌病(14.12%);小儿输血疾病种类前3位分别为贫血(33.53%)、新生儿败血症(26.24%)、早产儿并发症(13.70%)与新生儿肺炎(13.70%)。结论成分血使用存在问题,合理输注指征掌握不佳,部分医生不重视输血病例书写,医院应加强输血管理不断提高输血科学性、规范性,血液中心应提高服务质量。Objective To evaluate the current situation of blood transfusion in women and children,and to provide a basis for scientific and rational use of blood products.Methods Medical records of women and children who underwent blood transfusion in Changsha in 2016 were analyzed retrospectively.Results Among the 996 cases of blood transfusion,690 received red blood cells with a total amount of 1 533.26 U,96 received plasma with a total amount of 25 819.5 mL,23 received platelets with a total amount of 21.95 treatment doses,and 186 received cold precipitation with a total amount of 234.68 U.Blood transfusion was mostly performed in the department of neonatology(35.24%),followed by departments of gynecology(26.81%),anesthesiology(15.06%),obstetrics(13.25%),delivery room(6.12%),ICU(2.61%),pediatrics(0.40%),breast surgery(0.30%)and operating room(0.20%).The top three diseases leading to blood transfusion were anemia(27.06%),postpartum hemorrhage(16.13%)and uterine fibroids/adenomyosis(14.12%)in adults,and anemia(27.06%),neonatal septicemia(26.24%)and premature complications(13.70%)/neonatal pneumonia(13.70%)in children.Conclusion There are problems with blood component transfusion and mastery of infusion indications.Some doctors do not pay attention to the writing of blood transfusion record.Hospitals should strengthen the scientific and normative transfusion management,and blood centers should improve the service quality.

关 键 词：妇女 小儿 输血 调查分析 

分 类 号：R181[医药卫生—流行病学]