加强成分输血管理杜绝不合理成分输血

目的一血多用,节约血源;提高输血疗效,减少不良输血反应;最大限度地降低经输血传播的疾病发生。方法通过对我市近两年成分输血的统计分析,并与三甲医院成分输血的国家标准及先进国家成分输血的情况对比,找出目前我市成分输血中存在的问题。结果成分血使用率97.07%,超过三甲医院成分输血的国家标准,与先进国家相当;红细胞使用率44.93%,低于先进国家;新鲜冰冻血浆使用率41.33%,高于先进国家。结论加强成分输血管理,降低新鲜冰冻血浆使用率,防止新鲜冰冻血浆滥用,提高红细胞使用率,实现真正的成分输血。

To Strengthen Management of Component Blood Transfusion and Stop Unreasonable Component Blood Transfusion

Objective The first objective is to make the whole blood have multi-usages and save the blood source.The second one is to boost therapeutic effect of transfusion and reduce abnormal transfusion reaction.The third one is to decrease occurrence of diseases which could be spread by transfusion at the utmost.Methods We made a statistical analysis of the last two years,component blood transfusion data,and then drew a comparison between the statistical analysis results and government standards of component blood transfusion for class 3 grade 1 hospital as well as component blood transfusion information in developed countries.At last we found the problem of component blood transfusion in our city at the present.Results The use ratio of component blood transfusion was 97.07%,meanwhile this ratio surpassed the government standard of component blood transfusion for class 3 grade 1 hospital and was corresponding to that of developed countries.The use ratio of RBC was(44.93%),and this ratio was inferior to that of developed countries.The use ratio of FFP was 41.33%,and this ratio was superior to that of developed countries.Conclusions We must strengthen management of component blood transfusion through reducing the use ratio of FFP and rising that of RBC in order to realize the genuine component blood transfusion.