新冠肺炎疫情期间北京某三甲医院临床用血特点分析  

Clinical Blood Use Characteristics in a Tertiary Hospital in Beijing on the Novel Coronavirous Pneumonia Outbreak

作　　者：刘丽[1] 马春娅[1] 潘雪[1] 关晓珍[1] 刘俊婷 汪德清[1] LIU Li;MA Chun-ya;PAN Xue(Department of Transfusion Medicine,The First Medical Center of Chinese PLA General Hospital,Beijing 100853)

机构地区：[1]解放军总医院第一医学中心输血医学科,北京100853

出　　处：《临床输血与检验》2020年第4期354-357,共4页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：军队十三五重点课题(No.BWS16J0061);军民融合课题(No.BJ17926)资助。

摘　　要：目的通过对疫情期间临床用血特点的分析,为今后发生同类型疫情时制定血液保障方案提供参考依据。方法查阅2020年1月21日~2020年3月21日我院疫情期间住院和门急诊患者的用血记录,并与同期2019年1月21日~2019年3月21日的住院、门急诊患者用血量进行比较分析。结果疫情期间本院用血总量为10616.3 U,红细胞总量为5130.5 U(48.33%),其中门急诊患者用血总量为1410.5 U,红细胞用血量为1037 U(73.52%),与去年同期比较用血总量下降5.88%,红细胞用血量下降5.47%;门急诊红细胞用量占用血总量20.21%,去年同期门急诊红细胞用量占用血总量13.23%;疫情期间平均每人次红细胞用血量、红细胞用血率与去年同期相比均有统计学意义;结果还显示门急诊患者红细胞用血量中,以消化道出血和血液病患者为主,多发伤患者用血量与去年同期相比显著下降(90.38%);住院患者中,手术患者的红细胞用血量较治疗患者用量明显下降。结论疫情期间我院临床用血总量显著下降,门急诊患者红细胞用量显著增加,但多发伤患者的红细胞用量显著降低。Objective By analysis on characteristics of clinical blood use during the epidemic,it provides a reference for blood supply guarantee plan when the same epidemics occur in the future.Methods We reviewed blood use records of inpatient and emergency patient from January 21,2020 to March 21,2020 during the epidemic.Comparing with the same period last year,we analyzed blood use of inpatient and emergency patient.Result During the epidemic,the total amount of blood used in hospital was 10616.3 U,and the total amount of red blood cells(RBCs)was 5130.5 U(48.33%),of which the amount of blood used in outpatient and emergency patient was 1410.5 U,and the amount of RBCs used was 1037 U(73.52%).Compared with the same period last year,the total amount of blood used decreased by 5.88%,and RBCs decreased by 5.47%.RBCs amount in outpatient and emergency department accounted for 20.21%of total blood amount,compared with 13.23%in 2019.During the epidemic,the average RBCs amount per person and the rate of RBCs used were statistically significant,compared with the same period last year.The results also showed that RBCs amount in outpatient and emergency patient was mainly used by patients with gastrointestinal bleeding and hematological disease,and the blood amount used by patients with multiple injuries decreased significantly compared with the same period last year(90.38%).Among hospitalized patients,RBCs amount in surgical patients was significantly lower than that in patients treated with blood.Conclusion During the epidemic,our hospital significantly reduced total blood use.The amount of RBCs significantly increased in outpatient and emergency patient,but significantly decreased in patients with multiple injuries.

关 键 词：疫情 临床用血 门急诊患者 

分 类 号：R457.1[医药卫生—治疗学]