南京市急救用血安全库存量调查

Investigation on the safety of blood in storage for first aid in Nanjing

目的通过对南京市属医院的急救用血进行调查,建立针对各类抢救的血液安全库存量。方法将2012年1月-2013年12月南京市各医院急救用血的病种、血型、血量分类统计,计算各病种安全库存量和急救用血占总用血比例,并分析三级医院与二级医院的病种差异。结果多发伤、产科大出血、消化道大出血、主动脉瘤破裂及其它手术中意外大出血,红细胞用量分别为(8.24±5.53)U、(8.63±6.31)U、(7.30±5.0)U、(12.85±8.08)U、(8.08±8.64)U。消化道大出血红细胞用量略低于其它病种,主动脉瘤破裂的红细胞用量明显高于其它病种。结论根据二、三级医院的病种分布不同,制定准确的应急储备血量可更好地保障危重患者的生命安全。

Objective To study the total amount of blood usage allocated for first aid in hospitals in Nanjing,and to establish a secure amount of blood in storage to confront various types of rescue. Methods Different types of diseases,blood types and total consumption of blood for first aid in Nanjing's hospitals from January 2012 to December 2013 were measured.Then,a certain amount of blood in storage for various diseases and the corresponding proportion of blood used for emergency were calculated,followed by an analysis of the differences in prevalence of diseases among tertiary and secondary hospitals.Results The usage of red blood cells in trauma,obstetric bleeding,gastrointestinal bleeding,ruptured aortic aneurysm and other unexpected bleeding were(8. 24 ± 5. 53) U,(8. 63 ± 6. 31) U,(7. 30 ± 5. 0) U,(12. 85 ± 8. 08) U,and(8. 08 ±8. 64) U,respectively. The usage of red blood cells in gastrointestinal bleeding was slightly lower than other diseases,while the usage of red blood cells in ruptured aortic aneurysm was much higher than other diseases. Conclusion In accordance with the differences in the distribution of diseases among tertiary and secondary hospitals,establishing a secure amount of blood in storage will be better prepared to protect the lives of critically ill patients.