2019-2020年新生儿临床用血分析

Analysis of Clinical Blood Use of Newborns from 2019 to 2020

目的通过对新生儿科临床用血进行总结分析,了解新生儿用血的具体情况,为节省血液、制备小规格血液制剂提供临床依据。方法采用回顾性病例分析法对2019年1月—2020年12月该院634例住院新生儿的用血情况进行统计分析。结果新生儿使用红细胞、血浆及血小板实际输入量占用血量的比例都较小,分别为14.2%、26.5%、11.3%;用血总量为109210 mL,实际输入血量为17829.6 mL,占总血量的16.3%;总剩余血量为91380.4 mL,占总血量的83.7%,剩余量较输入量多,总剩余血量是输入血量的5.1倍,平均每次实际输入量为8~80 mL。结论新生儿临床用血量大,但实际输入量少,血液浪费严重,为了节约用血,新生儿输血应严格掌握输血指征,首选小规格血液制剂。

Objective Through a summary analysis of the clinical blood used in neonatology,to understand the specific situation of blood used in newborns,and to provide clinical evidence for saving blood and preparing small-sized blood preparations.Methods A retrospective case analysis method was used to statistically analyze the blood usage of 634 hospitalized newborns in the hospital from January 2019 to December 2020.Results The proportion of the actual input of red blood cells,plasma and platelets used by neonates was relatively small,which were 14.2%,26.5%,and 11.3%,respectively.The total blood used was 109210 mL,the actual blood input was 17829.6 mL,accounting for 16.3%of the total blood volume,and the total remaining blood volume was 91380.4 mL,accounting for 83.7%of the total blood volume.The remaining volume was more than the input volume,and the total remaining blood volume was 5.1 times of the blood input,and the average actual input volume was 8-80 mL each time.Conclusion The clinical blood volume of newborns is large,but the actual input volume is small,and blood is wasted seriously.In order to save blood,neonatal blood transfusion should be strictly controlled for blood transfusion indications,and small-sized blood preparations are the first choice.