医院临床用血现状调查分析

目的 了解医院临床用血合理性情况。方法 随机抽取本院2006～2008年有输血治疗的病历700份，其中外科病历500份，内科病历200份。依据《临床输血技术规范》中“手术及创伤输血指南”和“内科输血指南”对病例输血合理性进行分析评估。结果 700例病例中，合理用血占44％，部分合理用血占40％，不合理用血占16％。内科合理输血比例显著高于外科（χ^2=91．827，P〈0．01）。结论 不合理用血现象在医院中普遍存在，外科占有较大比例。

AN ANALYSIS OF THE STATUS OF BLOOD TRANSFUSION IN HOSPITAL

Objective To investigate the rationality of blood transfusion in our hospital. Methods This study consis ted of 700 files of patients who received blood transfusion during 2006-2008, of which, 500 files were from the surgical departments and 200 from the departments of internal medicine. According to the guideline in operation and trauma and the guideline in internal medicine in ＂The Technological Specification of Clinical Blood Transfusion＂, the rationality of blood transfusion was assessed. Results Of the 700 cases studied, reasonable blood transfusion accounted for 44%, partial reasonable, 40%, and unrea sonable, 16%. The percentage of reasonable transfusion was higher in internal medicine （χ^2= =91. 827,P〈0.01）. Conclusion Unreasonable blood transfusion is generally present in our hospital, a higher ratio being in surgical departments.