1839例人血白蛋白临床使用情况分析

Analysis on Clinical Application Situation of Human Serum Albumin in 1 839 patients

目的分析医院1 839例人血白蛋白的临床使用情况,评价使用合理性。方法对近年医院临床科室1 839例人血白蛋白的使用情况进行回顾性分析。结果 1 839例人血白蛋白使用总用量是10 913瓶,共计109 130 g;共有17个临床科室使用,以肝胆疾病、肿瘤患者为主;个人使用量以10~40 g为主,占使用总人数的57.53%;使用人血白蛋白前,患者血清白蛋白分布主要集中在25~35 g/L范围内。结论医院人血白蛋白的使用较广泛,使用基本合理,但仍然存在一些误区,应本着安全、有效、经济的原则合理使用。

Objective To assess the rationality of the human serum albumin（ ALB） use by analyzing the clinical use situation of ALB in1 839 patients in our hospital. Methods The use situation of human serum ALB in 1839 patients in the clinical departments of our hospital in recent years were statistically analyzed. Results The total amount of humans serum ALB used in 1 839 patients was 10 913 bottles,summing to 109 130 g,the17 departments were involved. The patients with hepatobiliary diseases and tumor were predominant; the individual use amount was dominated by 10- 40 g, accounting 57. 53% of total use cases; the ALB distribution of the patients before using human serum ALB mainly focused on the range of 25- 35 g / L. Conclusion Human serum ALB is widely used in our hospital and its use is basically rational. But some misunderstanding still exists. Human serum ALB should be rationally used according to the principle of safety,effectiveness and economy.