关注ICU患者接受的非必要血液检测  

Pay attention to non-essential blood tests received by ICU patients

作　　者：姚庆春 魏光晨 孟玫 Yao Qingchun;Wei Guangchen;Meng Mei(Department of Critical Care Medicine,Jiahui International Hospital,Shanghai 200233,China;Jinan People’s Hospital,Clinical Research Center for Critical Care Medicine of People’s Hospital Affiliated Shandong First Medical University,Jinan 271100,China;Department of Critical Care Medicine,Ruijin Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai 200025,China)

机构地区：[1]上海嘉会国际医院重症医学科,上海200233 [2]济南市人民医院,山东第一医科大学附属人民医院重症医学临床研究中心,济南271100 [3]上海交通大学医学院附属瑞金医院重症医学科,上海200025

出　　处：《中华重症医学电子杂志》2024年第4期329-333,共5页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

基　　金：国家自然科学基金资助项目(82272234,82372203);济南市医疗卫生行业高层次人才专项经费资助

摘　　要：ICU患者通常要接受频繁的日常诊断检测用于监测隐匿性风险。然而,非针对具体临床问题而进行的、重复的、常规的、每日的非必要检测,常常伴随其中。非必要血液检测相关的采血可导致医院获得性贫血,与住院时间延长、输血需求增加和病死率增加有关。同时,非必要检测也产生了巨大的经济负担。本研究回顾了ICU中非必要实验室检测的现状、危害以及措施,以期提高对ICU患者接受非必要血液检测的关注,并促进ICU的高质量发展。Patients in the ICU typically undergo frequent daily diagnostic tests to monitor hidden risks.Nevertheless,there are numerous additional repetitive,routine,and non-essential tests performed on regularly that are not specifically focused on addressing clinical concerns.Non-essential blood testing related to blood collection can lead to hospital-acquired anemia,which is associated with prolonged hospital stays,increased blood transfusion demand,and a higher mortality rate.Simultaneously,conducting non-essential testing imposes a significant economic strain.We reviewed the current situation,hazards,and measures of non-essential laboratory testing in the ICU,with the aim of increasing attention to ICU patients receiving nonessential blood testing and promoting high-quality development of the ICU.

关 键 词：非必要血液检测 重症医学科 疾病诊断相关分组 

分 类 号：R446[医药卫生—诊断学]