2004～2010年某院临床用血情况分析

目的 通过对临床成分用血现状分析,指导临床合理用血.方法 对2004～2010年该院治疗患者总数、手术总数、临床用血总量和各种血液制品用量占本年度用血总量比例进行统计.同时对2008～2010年用血量较大的科室各种成分血输血率进行分析.结果 2004～2010年间该院门诊患者数、住院患者数和手术数量呈逐年递增趋势,临床用血总量和红细胞使用量无明显变化,全血使用量逐年减少,血小板和冷沉淀使用量逐年上升,成分输血率均达99%以上,但仍存在一定的不合理性.2004～2007年间血浆为临床输血主要成分,2008～2010年红细胞为临床输血的主要成分,血浆用量逐年递减,血小板和冷沉淀用量逐年增多.结论 该院成分输血逐步向科学化、合理化和规范化的方向发展,成分输血结构明显改善.

Analysis of clinical blood use in certain hospital during 2004 to 2010

Objective To guide reasonable clinical blood usage by analyzing the clinical component blood usage in current situation.Methods The total number of patients and surgery,amount of blood for clinical usage and various blood products usage and those accounts for the total blood in current year were statistically analyzed during 2004 to 2010.The rate of all kinds of component blood transfusion in different departments,in which more blood was used,was analyzed from 2008 to 2010 also.Results During the period of 2004-2010,the number of outpatient,inpatients and surgery presented an increasing trend,there was no significant changes in the amount of total blood and red blood cells in clinical usage,and the amount of usage of whole blood decreased year by year,but the using amount of platelets and cryoprecipitate rose correspondingly.The rate of component blood transfusion accounted for 99% or more,but there were still some irrationality.In 2004-2007,the main component was plasma for clinical blood transfusion.While in 2008-2010,the main component was red blood cells for clinical blood transfusion,the amount of plasma declined,and the amount of platelets and cryoprecipitate increased year by year.Conclusion The component blood transfusion in this hospital might be gradually developed along the direction of scientification,rationalization and standardization.The structure of component blood transfusion could be significantly improved,but the awareness of blood reasonable use might be still weak in some clinician,relaxing blood transfusion indications.