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RhD 阴性孕妇临床备血用血情况分析
引用本文:党盼玉,苏珊,刘志新,胡兴斌,尹文. RhD 阴性孕妇临床备血用血情况分析[J]. 现代检验医学杂志, 2020, 0(1): 130-132. DOI: 10.3969/j.issn.1671-7414.2020.01.034
作者姓名:党盼玉  苏珊  刘志新  胡兴斌  尹文
作者单位:(空军军医大学西京医院输血科,西安 710032)
摘    要:目的 分析产科RhD阴性孕妇住院期间备血及用血情况,评价产科RhD阴性血液管理的安全性和有效性。 方法 选取产科住院期间的24 938例孕妇作为研究对象,通过“采供血机构信息管理系统”软件,对申请以及输注红细胞的病例进行收集。 结果 24 938例产科住院备血者中RhD阴性备血者2 098例,RhD阴性孕妇备血者占产科备血者的8.41%(2 098/24 938)。产科用血率4.70%(1 171/24 938),RhD阴性孕妇用血率3.29%(69/2 098),平均输注红细胞3.06U(211U/69,只进不舍)。阴性去甘油红细胞解冻率1.86%(39/20 98),解冻去甘油红细胞报废率逐年下降。 结论 库存阴性悬浮红细胞每天各型保持2U或者O型4U即可满足产科临床的常规需求。产科RhD阴性血液管理安全、有效,保障了稀有血液的合理利用。

关 键 词:RhD阴性  孕妇  备血  用血

Analysis on RBC Preparation and Transfusion of RhD Negative Pregnant Women
DANG Pan-yu,SU Shan,LIU Zhi-xin,HU Xing-bin,YIN Wen. Analysis on RBC Preparation and Transfusion of RhD Negative Pregnant Women[J]. Journal of Modern Laboratory Medicine, 2020, 0(1): 130-132. DOI: 10.3969/j.issn.1671-7414.2020.01.034
Authors:DANG Pan-yu  SU Shan  LIU Zhi-xin  HU Xing-bin  YIN Wen
Affiliation:(Department of Blood Transfusion,Air Force Medical University of Xijing Hospital,Xi'an 710032,China)
Abstract:Objective To analyze the blood preparation and transfusion of RhD negative obstetric pregnant women during hospitalization and evaluate the safety and the effectiveness of the blood management in RhD obstetric negative pregnant women. Methods 24 938 cases pregnant women during the period of obstetric hospitalization were selected as the research objects.The data of blood preparation and transfusion were collected through the software of“Information Management System for Blood Collection and Blood Supply Institutions”.Results Of the 24 938 cases of inpatient obstetric blood preparation, 2 098 were RhD-negative.RhD negative maternal blood preparers account for 8.41 %(2 098/24 938)of all obstetric blood preparers.The rate of obstetric blood use was 4.70%(1 171/24 938)and that of RhD negative pregnant women was 3.29%(69/2 098),average infusion of red blood cells 3.06 U(211/69, only in). Negative deglycerol erythrocytes defreeze 1.86 %(39/2 098).The scrap rate of thawed negative deglycerin red blood cells decreased year by year. Conclusion The routine clinic requirements of obstetrics can be met by keeping 2U of each ABO blood type of RhD negative suspended red blood cells or keeping 4U of O type every day.Blood management in RhD negative pregnant women is reasonable, safe and effective, which updates the modern transfusion concept of clinicians and ensures the rational transfusion of rare blood.
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