乌鲁木齐市血液中心单采血小板采集及报废情况分析

Analysis of Apheresis Platelets Collection and Discarding Situation in Urumqi Blood Center

目的了解单采血小板的采集情况及报废原因,探讨减少报废的措施和方法,避免血液资源的浪费。方法对乌鲁木齐市血液中心2013年至2015年单采血小板采集及报废情况进行统计分析。结果 2013年至2015年乌鲁木齐市血液中心共采集单采血小板16461人次,报废56人次,平均报废率为0.34‰报废原因由高到低依次为HBsAg阳性、抗-HCV阳性、抗-TP阳性、抗-HIV阳性、ALT阳性、HBV-DNA阳性、不足量/颜色异常/溶血/HTV-RNA阳性,其中传染病因子阳性报废最多。结论单采血小板报废的首要原因是传染病因子阳性,应加强献血前健康征询、血液快速检测及人员技术培训,建立一支固定的、低危的无偿献血者队伍,有效减少单采血小板的报废。

Objective To understand the situation of apheresis platelets collection and the reason of apheresis platelet discarding, and discusses the measures and methods which can reduce discarding and avoid the waste of blood resources. Methods Statistical analysis of apheresis platelet collection and scrap in Urumqi blood center from 2013 to 2015. Results Platelets from 16461 donors were collected in Urumqi blood center fi＇om 2013 to 2015, 56 of those were scrapped; the average scrap rate was 0.34%. The reason of scrap from high to low were HBsAg positive, anti-HCV positive, anti-TP positive, anti-HIV positive, ALT positive, HBV-DNA positive, lack of quantity /color abnormal/hemolysis and HIV-RNA positive. The main cause for scrap was infectious disease factor positive. Conclusion The primary reason of platelet scrap was infectious disease factor positive. To effectively reduce the scrap of platelet, we should strengthen the blood donation health consultation and technical training of rapid detection to establish a fixed low risk donors team which can effectively reduce discarding of aphersis platelets.