2013-2015年广东省某三甲医院成分用血情况分析

Analysis of Component Blood Transfusion in A Guangdong Hospital from 2013 to 2015

目的 通过了解该院2013-2015年的成分用血情况,评估现行的血液管理手段的有效性。方法对该院2013-2015年的用血情况进行统计分析。结果 近3年来,该院的用血总量有所下降,从2013年的138 631.5 U下降到2015年的114 845.75 U。用血结构更趋合理。红细胞/血浆比值逐年升高,从2013年的0.51升高到2015年的0.72。其中心外科用血量占比最大,达到全院用血总量的22.16%~27%。结论 该院通过开展严格鉴别输血适应证,采用术中回收式自身输血技术、血栓弹力图检测等有效的血液管理手段,使得其临床成分用血总量逐年下降,结构更趋合理,对缓解血液供应紧张局势和提高医疗水平具有重要的意义。

Objective By understanding the hospital＇ s composition of the blood using from the year 2013 to 2015, to provide reference for blood transfusion department, improve the quality of the clinical use and evaluate the hospital blood management. Methods Analyzed the blood using condition of the hospital from the year 2013 to 2015. Results In the recent 3 years, the hospital blood transfusion department through effective management, made the hospital＇ s blood consumption declined, the total blood consumption in 2013 was 138 631.5 U, and it declined to 114 845.75U in 2015. Blood consumption structure becomes more reasonable. The ratio of the red blood cell / plasma values rises year by year, as it was 0.51 in 2013 and grew to 0.72 in 2015. Cardiac surgery has the biggest blood consumption at the hospital. Conclusion The hospital using effective blood management, such as exercising strict control over blood transfusion indication, autologous blood transfusion and thrombus elastic figure, made the hospital＇ s blood consumption declined and the structure of component blood using more reasonable, thus relieving the tense situation of blood supply and improving the level of medical treatment, which has the vital significance.