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[目的]通过室间质评来完善实验方法和提高检测水平,使实验结果更加可靠,为临床输血提供安全保障。[方法]依据卫生部临床检验中心对临床输血相容性室间质评的要求,每年3次,每次5个项目包括ABO血型正反定型和Rh(D)血型鉴定、受血者和献血者抗体筛检及交叉配血实验,每个项目有5个被检测标本;对影响检测质量的标本、检测方法、试剂、操作过程及结果分析等诸多因素进行评估。[结果]2008年081批次结果较差,仅ABO正定型,Rh(D)血型鉴定两项为100%;082批次交叉配血较差为40%。2008年083批次及2009年091、092、093批次结果较为满意。[结论]临床输血相容性室间质控工作是临床输血质量管理体系中的重要环节,室间质评可增加临床实践经验,增强鉴别判断能力,规范临床输血相容性检测工作,达到安全输血的目的。
[Objective] To improve the experimental method and improve the detection level through the inter-laboratory qualitative evaluation to make the experimental results more reliable and provide the safety guarantee for clinical blood transfusion. [Methods] According to the requirements of clinical laboratory for clinical transfusion compatibility of clinical transfusion, three times each year, five items including ABO blood type positive and negative typing and Rh (D) blood type identification, blood recipients and blood donation Antibody screening and cross matching with blood test, each project has five specimens to be tested; evaluation of the quality of the specimens, test methods, reagents, operation and analysis of results and many other factors. [Results] The results of batch 081 2008 were poor. Only ABO positive typing and Rh (D) blood type identification were 100%. The difference of 082 batch cross matching was 40%. 2008 083 batches and 2009 091,092,093 batch results are more satisfied. [Conclusion] The clinical work of transfusion-compatible inter-ventricular quality control is an important link in clinical transfusion quality management system. Inter-laboratory quality assessment can increase the clinical practice experience, enhance the ability of discrimination and judgment, standardize the clinical transfusion compatibility testing and achieve safety The purpose of blood transfusion.