一家妇幼保健医院临床用血适应证符合率及用血分布情况的分析

发布时间：2018-04-18 19:17

本文选题：输血 + 红细胞　；参考：《中国输血杂志》2016年02期

【摘要】：目的调查2014年本院临床用血现状,分析临床输血适应证符合率及用血分布情况,进一步提高本院临床输血的技术水平。方法查阅715份输血病历,按照相关标准对输血适应证符合率进行统计分析。结果共输用各类成分血2 243.35 U,适应证符合率为95.9%(686/715),其中手术科室红细胞、血浆、冷沉淀和血小板适应证符合率分别为91.7%(210/229)、57.9%(11/19)、90.9%(10/11)、100%(6/6),非手术科室红细胞、血浆、冷沉淀和血小板适应证符合率分别为94.3%(345/366)、100%(45/45)、100%(30/30)、100%(9/9);新生儿科用血人数占总输血人数的53.4%(382/715)。结论本院非手术科室对成分血的输注指征掌握的较好,手术科室欠佳,其中手术科室输用血浆的适应证符合率最低,有待进一步加强血浆的使用管理;新生儿人均用血量不多,但是本院主要的输血人群。
[Abstract]:Objective to investigate the current situation of clinical blood transfusion in our hospital in 2014, and to analyze the coincidence rate and distribution of clinical blood transfusion in order to improve the technical level of clinical blood transfusion in our hospital.Methods 715 cases of blood transfusion were reviewed and the coincidence rate of transfusion indications was statistically analyzed according to relevant standards.Results there were 2 243.35 UU for transfusion of various components, and the indication coincidence rate was 95.9% and 686 / 715% respectively. The coincidence rates of RBC, plasma, cryoprecipitation and platelets were 91.7% 210 / 22.9% 57.9U / 1110 / 111000.66% 6 / 6, respectively, non-operative room erythrocytes, plasma, and so on.The coincident rates of cold precipitation and platelets were 94.3%, 34.5% 366U / 100 and 45 / 45 / 100%, 30 / 30 / 100% of 9 / 9%, respectively; the number of pediatric blood users accounted for 53.4% of the total number of blood transfusions, 53.2% of 715% of the total number of blood transfusions.Conclusion the indication of blood transfusion in non-operative department of our hospital is better than that in operation department, among which the indication of plasma transfusion in surgical department is the lowest, the management of plasma use should be further strengthened, the amount of blood used per newborn is not much.But the hospital's main blood transfusion population.
【作者单位】：厦门市妇幼保健院输血科;
【分类号】：R457.1

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