临床红细胞规范性输注及有效性分析

Analysis of validity and normative of clinical red blood cell transfusion

目的:调查红细胞输注的规范性和有效性,为临床科学合理用血提供依据。方法:通过调查2011-05-12月全部红细胞输注病例,计算血红蛋白升高值,评价输血有效性。同时回顾性分析红细胞输注的规范性。结果:总计3571份红细胞输注病例,用血量为8136U,其中红细胞输注无效占15.71%,输血指针不符的输注有14.50%并有9.44%的临床输血未作血红蛋白监测。结论:临床红细胞输注存在不合理用血,无效输血,输血前后无评估现象,血制品科学使用有待进一步提高。

Objective：To investigate validity and normative of clinical blood transfusion,provide basis for scientific clinical blood transfusion. Method：Through the ivestigate all red cell transfusion case between 2011.5-2011.12.Calculate the increase value of the Hemoglobin,to evaluate the effect of the red blood cell transfusion. Result：Investigate a total of 3 035 cases of blood transfusion,used 8 136 U red blood cell,in which the ineffective blood transfusion acounted for 15.71%.14.50% of the blood transfusion don＇t comply with blood transfuion pointer and 9.44% of the clinical blood transfusion without Hemoglobin monitoring as well. Conclusion：There are a lot of clinical transfusion of red cell is not reasonable transfusion,ineffective blood transfusion,don＇t do clinical monitoring before or after blood transfusion.Scientific use of blood products need to be further improved.