广州市非检测原因血液报废调查

Analysis on the non-detecting unqualified blood discarding in Guangzhou

目的分析非检测原因血液报废情况,降低血液报废率。方法收集2012-2016年广州市无偿献血的血液报废情况,计算血液报废率。结果 2012-2016年共报废血液产品285 481 U,报废率为6.18%,其中非检测原因报废血液产品134 290μ,报废率为2.91%。非检测原因血液报废率在2012-2016年逐年上升,并且在2015年超过了检测原因血液报废率,成为广州市血液报废的主要原因。非检测原因血液报废主要是脂肪血(占比87.20%),其后依次为血袋破漏(5.37%)、其他(3.19%)、不足量(1.49%)、过期血(0.95%)、纤维蛋白析出(0.77%)、溶血(0.62%)和凝块(0.41%)。结论应重视非检测原因血液报废,并制定相应措施减少血液浪费,提高血液利用率。

Objective To analysis the non-detecting unqualified blood discarding in Guangzhou and in order to reduce the blood discarding rate. Method The data of voluntary blood donation and blood discarding in Guangzhou from 2012 to 2016 were collected. Results A total of 285 481 units of blood components were scrapped with a blood discarding rate 6.18%,in which 134 290 units（ 2.91%）were scrapped because of the non-detecting unqualified blood discarding. The non-detecting unqualified blood discarding rate increased year by year and exceeded the detecting unqualified blood discarding rate in 2015. Chylemia blood was the main reason for the non-detecting unqualified blood discarding,followed by blood leaking,other,insufficient blood,expired blood,fibrin,hemolysis and blood clot. Conclusion Non-detecting unqualified blood discarding should be paid attention to and measures should be made accordingly to reduce unnecessary blood discarding and improve the blood utilization efficiency.