对采集献血者血液误穿刺动脉时处理方法的探讨  

Discussion on the treatment method of accidental puncture of artery in blood collection of donors

作　　者：熊惠连 王晓华 Xiong Huilian;Wang Xiaohua(The Central Blood Station of Ganzhou City,Ganzhou,Jiangxi 341000)

机构地区：[1]赣州市中心血站

出　　处：《基层医学论坛》2019年第36期5188-5189,共2页The Medical Forum

基　　金：赣州市指导性科技计划项目(GZ2016ZSF246)

摘　　要：目的探讨采集献血者血液误穿刺动脉时的处理对策。方法选取2016年99例无偿献血者为研究对象,将误穿刺动脉并经动脉成功献血的无偿献血者49例作为动脉组,经静脉成功献血的献血者50例作为静脉组,对2组献血者进行电话跟踪回访,观察献血后不良反应发生情况。结果动脉组出现针眼处青紫4例(8.16%)、轻微不适感2例(4.08%),静脉组出现针眼处青紫6例(12.00%)、轻微不适感3例(6.00%),差异无统计学意义(P>0.05)。结论采集献血者血液误穿刺动脉时,无需停止采血或行再次静脉穿刺,如献血者无任何不适和不良反应,可经动脉直接完成献血,既可减轻重复穿刺给献血者带来的疼痛感,又可减少采血物料的消耗。Objective To investigate the management of blood donors who are mistakenly punctured arteries. Methods Ninety-nine volunteer blood donors in 2016 were selected as the research objects,49 volunteer blood donors who had punctured the artery by mistake and successfully donated blood through the artery were selected as the arterial group;50 volunteers who had successfully donated blood through the vein at the same time were randomly selected as the venous group,and when the blood of the donors was punctured by mistake,they did not stop immediately. Blood collection,but through close observation,the blood donors in arterial and venous groups were followed up by telephone to observe the occurrence of adverse reactions after blood donation in arterial and venous groups.Results There were 4 cases(8.16%)of cyanosis and 2 cases(4.08%)of mild discomfort in the arterial group,6 cases(12.00%)of cyanosis in the needle eye and 3 cases(6.00%)of mild discomfort in the venous group,and there was no significant difference in cyanosis and mild discomfort in the needle eye between the two groups after blood donation(P>0.05). Conclusion When collecting blood from blood donors,it is not necessary to stop collecting blood or perform venipuncture again. If the donors have no any discomfort or adverse reactions,they can directly complete blood donation through arteries,which not only alleviates the pain caused by repeated puncture to donors,but also reduces the consumption of blood collection materials.

关 键 词：献血者 静脉穿刺 误穿刺动脉 处理方法 

分 类 号：R44[医药卫生—诊断学]