广东省某三甲级医院2010～2015年临床用血情况分析

Analysis on the Status of Clinical Blood Transfusion in A Grade A Class 3 Hospital in Gongdong Province from 2010 to 2015

目的通过对某院临床输血资料的统计与分析,了解临床用血情况,为提高合理用血提供参考依据。方法对中山市某三级甲等医院2010～2015年临床输血总量、成分用血情况、临床主要科室用血情况等进行调查分析。结果本院6年来住院人数大幅增加,临床用血总量和人均用血量逐年减少,输血例数基本持平,输血比率逐年减少。各血液成分中,红细胞和血浆用量最多,血小板次之,冷沉淀最少,分别占成分输血的43.21%、36.76%、17.46%、2.57%,无使用全血病例。结论由于本院安全输血管理制度的落实,临床用血逐渐趋向合理化,成分输血得到很好的开展,但仍需更合理地使用血浆。

Objective To improve the rational use of blood transfusion by investigating the clinical blood transfusion data. Methods Medical records of patients received blood transfusion from 2010 to 2015 in a grade A class 3 hospital were investigated and analyzed, including total quantity of clinic blood transfusion, situation of component blood transfusion and blood transfusions in main departments. Results The number of hospitalized cases has remarkably increased during the last 6 years in this hospital. However, the total quantity of blood transfusion, per capita transfusion volume and the ratio of patients received blood transfusion reduced in a downtrend. Only the cases received blood transfusion remained basically unchanged. The highest rate of transfusion was found in the use of red blood cell （43.21%） , and the others were plasma （36.76%） , platelet （17.46%） , andcryoprecipitate （2.57%） . Conclusion Thanks to the safety of blood transfusion management system implementation, the clinical use of blood becoming rational and the ratio of component blood transfusion was improved, yet the reasonable use of plasma still expects for enhancement.