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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。
Objective To investigate the current situation of clinical blood supply in our hospital in 2014, analyze the coincidence rate of clinical transfusion indication and the distribution of blood use, and further improve the technical level of clinical transfusion in our hospital. Methods 715 blood transfusion records were consulted, and the coincidence rates of transfusion indications were statistically analyzed according to relevant standards. Results A total of 2 243.35 U blood samples were collected and 95.9% (686/715) indications were used. The coincidence rates of erythrocyte, plasma, cryoprecipitate and platelet in operation departments were 91.7% (210/229) 57.9%, 11.9%, 90.9% and 100% respectively. The coincidence rates of erythrocyte, plasma, cryoprecipitate and platelet in non-surgical department were 94.3% (345/366), 100 % (45/45), 100% (30/30) and 100% (9/9). Neonatal blood was 53.4% (382/715) of the total blood transfusions. Conclusion The non-surgical departments of our hospital have a good grasp of indications of blood transfusions and poor surgical departments, of which the compliance rate of plasma transfusion in the surgical departments is the lowest, so the administration of plasma needs to be further strengthened. Small amount, but the main hospital blood transfusion crowd.