摘要
目的:研究血液预约与分配之间的差异。方法:收集348病例及与输血申请单和血液中心办理的与之相对应的348份供血通知单,根据疾病的种类和科室预分配临床医生申请的血液数量(红细胞和血浆)比较预输血量和实际用血量。结果:医院实际用血量减去血站预分配量H(y-x)和血站预分配减去医院预申请用量H(x-y)比较,H(x-y)除了肿瘤科持平外,其余各科室均为负值。从红细胞用量关系可以看出,在预约348例患者,血站配血339例,实际用血279例,在预约患者中有69例没有输血,节约576U红细胞。从血浆用量关系可以看出,在预约的269例患者中有10例没有输血浆,节约血浆608U。结论:临床配血时不能全部根据预约血液配送,而应结合临床症状、疾病的类型、缓急程度来进行配送。
Objective： To study the difference between blood appointment and allocation. Methods： A total of348 cases and 348 blood supply notices, which were handled by blood center, matched with the applications for blood transfusion were collected, pre transfusion and actual consumption were compared according to the diseases, pre-allocation of the departments and blood volume of clinical physician applied for（red blood cells and plasma）. Results： H（x-y） in other departments was negative except the oncology department when subtracting pre-allocation of blood back from hospital actual consumption were compared with subtracting hospital pre-appointment volume from pre-allocation of blood bank. It could be seen that there were 339 cases with blood match in blood bank, 279 cases with actual consumption among 348 patients with blood appointment, 69 patients without blood transfusion and saving 576 U red blood cells from the relationship of red blood cells dosages, and there were ten cases without the transfusion of the plasma, saving 608 U among 269 appointed patients from the relationship of plasma dosage. Conclusion： Clinical use of blood should be allocated in accordance with clinical symptoms, the diseases, and the urgency, not according to blood appointment.
出处
《西部中医药》
2016年第6期156-157,共2页
Western Journal of Traditional Chinese Medicine
基金
甘肃省卫生行业科研管理项目(编号GWGL2011-17)
关键词
医院备血
血站
分配量
实际用量
hospital blood preparation
the blood bank
allocation
actual consumption
