电子交叉配血技术在手术备血中的应用研究

Application of Electronic Crossmatch Technique in the Preparation of Blood in Operation

目的探讨电子交叉配血技术在手术备血中的临床应用。方法 2012年1月-12月分别对供血者和申请手术备血患者进行ABO/RhD血型检测以及抗体筛查。供血者血型正确,抗体筛查阴性,患者二次血型鉴定一致,抗体筛查阴性,按电子交叉配血规则进行配血,完成备血程序。同时用传统血清学交叉配血方法为患者备血,确保血液的相容性并比较两种备血方法的优缺点。结果 7 721份患者血样中7 647份符合电子交叉配血规则,由计算机系统实施电子交叉配血未发现ABO/RhD血型不相容。平均用时3 min,占用血液为手术备血数的50%。用传统血清学方法对7 647份患者血样与供血者血样进行交叉配血,未发现血液不相容。平均用时10 min,占用血液为手术备血数的100%。结论电子交叉配血技术用于手术备血,能节约人力、物力,优化操作流程,提高工作效率与输血安全性,临床应用意义重大。

Objective To explore the clinical application of electronic crossmatch technique in the preparation of blood in operation. Methods Between January 2012 and December 2012, in the donor and the application operation preparation of blood in patients with ABO/RhD, blood type was detected and antibody was screened. The donors with correct blood type and negative antibody and the patients with accordant results of two blood identification and negative antibody underwent electronic cross-matching by electronic cross-matching rules, and completed the blood preparation program. At the same time, the patients underwent traditional blood cross-matching method for preparation to ensure the blood compatibility and to compare the advantages and disadvantages of the two kinds of preparing methods. Results In 7 721 blood samples, 7 647 samples matched the electronic cross-matching rules; no incompatibility of ABO/RhD was found using electronic cross-matching by computer system. Also, no incompatibility was found using cross-matching by traditional serum method in 7 647 blood samples; the average time was 10 minutes, while 100% occupation of blood preparation for operation was found. Conclusion Electronic cross-matching techniques for preparing operation can save manpower and material resources, and also may optimize the operation process, improve the work efficiency and the safety of blood transfusion.