长沙市2014年~2019年血液质量投诉情况分析  

Complaints of blood quality:from 2014 to 2019 in Changsha

作　　者：彭俏 唐敏[1] 黎晴 谢毓滨[1] 张会平[1] PENG Qiao;TANG Min;LI Qing;XIE Yubin;ZHANG Huiping(Changsha Blood Center,Changsha 410001,China)

机构地区：[1]长沙血液中心,湖南长沙410001

出　　处：《中国输血杂志》2021年第12期1347-1351,共5页Chinese Journal of Blood Transfusion

基　　金：湖南省卫生计生委科研课题(B2017203)。

摘　　要：目的了解长沙市血液质量投诉情况,以便持续改进血站血液质量管理。方法收集长沙血液中心2014年~2019年纸质版《血液质量投诉处理单》,并从SHINOW 9.0系统收集同一时段的血液出库量数据,将总体供血及各成分血质量投诉情况(内容)分类整理,应用SPSS19.0做统计分析。结果长沙市2014年~2019年共发放血液质量投诉单435份,涉及质量问题血液435袋,血液出库共1865466袋;总投诉(单)比0.23‰(435/1865466),其中投诉红细胞质量占45.06%(196/435),由2014年的30.23%(26/86)升至2019年的49.49%(49/99);同时投诉冷沉淀的比例由10.47%(9/86)升至20.20%(20/99)。血液质量投诉原因主要有血袋破损29.89%(130/435)、血清学试验阳性(不规则抗体筛查实验阳性或直接抗球蛋白试验阳性)34.48%(150/435)、絮状物或沉淀18.39%(80/435)、凝块5.52%(24/435)、脂血3.45%(15/435)、血型变异型(ABO亚型和RhD变异型)2.07%(9/435)等;各成分血上述问题分布各有侧重,红细胞中血清学试验阳性占72.45%(142/186),血浆中血袋破损占83.74%(103/123),血小板及冷沉淀中絮状物或沉淀分别占54.17%(13/24)和64.13%(59/92)。结论血袋破损、絮状物或沉淀、血清学试验阳性是长沙市医疗机构主要投诉的成分血质量问题。血站加强血液质量控制,正确对待血液质量投诉,加强与用血医院的输血前操作的沟通,有助于提高临床用血满意度,用好血液资源。Objective To investigate the complaints of blood quality in Changsha,in order to continuously improve blood quality management.Methods The Handling Forms of Blood Quality Complaints of our center during 2014~2019,and the blood units issued,corresponded to the occurrence period of complaints,were collected from the SHINOW 9.0 system,and the overall blood supply and complaints of blood quality,including various components,were classified and analyzed by SPSS19.0.Results 1865466 bags of blood were delivered from 2014 to 2019 in Changsha,coming down 435 complaints with 435 bags of blood involved,and the total ratio of blood quality complaints rated at 0.23‰(435/1865466),of which red blood cell complaint accounted for 45.06%(196/435),with a rise from 30.23%(26/86)in 2014 to 49.49%(49/99)in 2019.Meanwhile,the cryoprecipitate complaint increased from 10.47%(9/86)to 20.20%(20/99).The complaints were mainly broken blood bags 29.89%(130/435),positive serological testing results(irregular antibody screening+or direct anti globulin test+)34.48%(150/435),floccule or precipitates 18.39%(80/435),clot 5.52%(24/435),lipemia 3.45%(15/435),and blood type variant(ABO subgroups and variants of RhD)2.07%(9/435).The complaints were different in blood components,each with a particular tilt as follows:positive serological testing results in red blood cell[72.45%(142/186)],broken blood bags in plasma[83.74%(103/123)],floccule or precipitates in platelet[54.17%(13/24)]and cryoprecipitate[64.13%(59/92)].Conclusion Broken blood bags of plasma,floccule or precipitates of cryoprecipitate,and positive serological testing results of red blood cell were the main complaints of blood quality in Changsha.Blood banks should strengthen quality control,handle quality complains cautiously and strengthen community with hospitals before transfusion to improve blood satisfaction in clinical,and save blood resources.

关 键 词：血液质量 用血医院投诉 血袋破损 絮状物 血清学试验不符 

分 类 号：R457.12[医药卫生—治疗学]