8053例住院死亡患者临床用血分析  

Analysis of Blood Transfusion in 8053 Hospitalized Deceased Patients

作　　者：马婷[1] 牛佳萌 陈欣悦 王李秦 杨江存[1] 孙杨[4] MA Ting;NIU Jia-meng;CHEN Xin-yue(Department of Transfusion Medicine,Shaanxi Provincial People's Hospital,Xi'an 710068)

机构地区：[1]陕西省人民医院输血科,710068 [2]西安医学院 [3]江苏力博医药生物技术服份有限公司 [4]陕西省人民医院数据中心

出　　处：《临床输血与检验》2021年第6期732-736,共5页Journal of Clinical Transfusion and Laboratory Medicine

基　　金：陕西省科技成果转移与推广计划-获奖成果转化项目(No.2019CGHJ-09,2020CGH-029)资助。

摘　　要：目的通过分析住院死亡患者最后一次住院期间的用血情况,探究人的一生用血概率,提倡健康适龄人群积极献血。方法根据《国际疾病分类》原则、献血年龄及血液成分分类,对该院2011~2020年8053例住院死亡病例进行用血情况统计分析。结果2011~2020年该院住院患者平均输血率为13.13%,病死患者平均输血率为47.42%。死亡患者输血率最高的前三位疾病为妊娠、分娩和产褥期,血液及造血器官免疫性疾病,消化系统疾病,输血率分别为90%、89.74%和79.52%。<18岁、18~60岁及>60岁死亡患者输血率逐渐降低,输血率分别为64.13%、56.00%、44.80%(P<0.05)。死亡患者平均红细胞输血量为2.05 U,血浆和血小板分别为4.19 U和2.8 U。结论住院死亡患者输血率较高,提示人们在适龄健康时应积极参与无偿献血,利己利人提高献血意识,促进我国无偿献血事业发展。Objective By analyzing the blood use of the deceased patient during his last hospitalization,we explored the lifetime blood consumption probability,and advocated active healthy and age-appropriate blood donation.Methods According to the principles of the International Classification of Diseases,blood donation age and blood composition classification,the blood volume of 8053 hospitalized patients who died from 2011 to 2020 in this hospital was statistically analyzed.Results From 2011 to 2020,the average transfusion rate of inpatients in the hospital was 13.13%,and the average transfusion rate of patients who died was 47.42%.The top three diseases with the highest transfusion rate of deceased patients were pregnancy,childbirth and puerperium,blood hematopoietic immune diseases,and digestive system diseases,with the transfusion rate of 90%,89.74%and 79.52%,respectively.The rate of blood transfusion decreased gradually in patients under 18,18~60 and over 60 years old,which was 64.13%,56.00%and 44.80%respectively(P<0.05).The average red blood cell transfusion volume per deceased patient was 2.05 U,plasma 4.19 U and platelet 2.8 U,respectively.Conclusion The higher rate of blood transfusion before death in hospitalized patients suggests that we should actively participate in unpaid blood donation when we are healthy at the right age,so as to improve the consciousness of blood donation and promote the development of unpaid blood donation in China.

关 键 词：住院死亡 输血率 无偿献血 

分 类 号：R457.1[医药卫生—治疗学]