《特殊紧急抢救输血推荐方案》应用实践

发布时间：2018-03-28 02:15

本文选题：输血　切入点：紧急抢救　出处：《中国输血杂志》2016年05期

【摘要】：目的分析《特殊情况紧急抢救输血推荐方案》(简称《紧急输血方案》)在医院紧急医疗抢救工作中实施的效果及意义。方法根据《紧急输血方案》的应用范围,从广州市第一人民医院2013-2015年46 061例输血病例中,收集《紧急输血方案》公布前后3年符合特殊情况紧急抢救输血的524例病例做回顾性总结分析和比较,包括《紧急输血方案》实施前后特殊情况紧急抢救输血的一般及变化情况、ABO及Rh血型同型输注与相容性输注比例、输血适应证种类、病例的临床科室分布、实验室检测处理时间以及输血不良反应发生率等。结果在《紧急输血方案》的指导下,完成374例特殊情况需要紧急抢救输血的临床输血病例,医院输血科及相关科室执行紧急特殊输血治疗的能力和时间效率都有很大提高,尤其是《紧急输血方案》公布前后处理ABO疑难血型患者紧急抢救输血病例的实验室处理时间(h)由1.37±0.21缩短至0.32±0.10(P0.05)、库存不足导致需要不同型血液成分输注的实验室处理时间(h)由0.31±0.10缩短至0.22±0.10(P0.05),并体现在RhD阴性血患者紧急抢救的病例中。结论《紧急输血方案》为输血科和临床科室提供了科学、规范、标准的输血急救治疗依据和指导,使得抢救输血能有效缓解患者病情和赢得治疗时间。
[Abstract]:Objective to analyze the effect and significance of "Emergency Blood Transfusion Program for Special cases" (abbreviated as "Emergency Blood Transfusion Program") in hospital emergency medical treatment. Methods according to the scope of application of Emergency Blood Transfusion Program, From 46,061 cases of blood transfusion in the first people's Hospital of Guangzhou from 2013 to 2015, 524 cases of emergency blood transfusion according to special circumstances were collected before and after the publication of Emergency Blood Transfusion Program for retrospective analysis and comparison. Including the general and changes of emergency blood transfusion before and after the implementation of "Emergency Blood Transfusion Program", the proportion of ABO and Rh blood group transfusion and compatible transfusion, the indication of blood transfusion, the distribution of clinical departments of the cases. Results under the guidance of "Emergency Blood Transfusion Program", 374 cases of clinical blood transfusion requiring emergency rescue of blood transfusion were completed under the guidance of "Emergency Blood Transfusion Program". The ability and time efficiency of hospital blood transfusion department and related departments to carry out emergency and special transfusion treatment have been greatly improved. In particular, the laboratory treatment time before and after the publication of the Emergency Blood Transfusion Program for the treatment of ABO patients with difficult blood groups was shortened from 1.37 卤0.21 to 0.32 卤0.10 P0.05, resulting in a shortage of stocks leading to the need for laboratory treatment of different types of transfusion of blood components. The time was shortened from 0.31 卤0.10 to 0.22 卤0.10 (P0.05), which was reflected in the emergency rescue of patients with RhD negative blood. Conclusion the "Emergency Blood Transfusion Scheme" provides a scientific basis for blood transfusion department and clinical department. The standard and standard basis and guidance of first aid transfusion can effectively relieve the patient's condition and win treatment time.
【作者单位】：广州医科大学附属广州市第一人民医院输血科;解放军总医院;南方医科大学南方医院;
【分类号】：R457.1

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