Treatment of fat-poor renal angiomyolipoma with ectopic blood supply by fluorescent laparoscopy:A case report and review of literature

BACKGROUND Renal angiomyolipoma and renal cell carcinoma are the most common benign and malignant tumors of the kidney respectively,and the preoperative differential diagnosis is crucial due to the wide difference in treatment methods.Fat-poor renal angiomyolipoma is a relatively rare type of in renal angiomyolipoma.Its fat imaging features are not obvious,and it is easily misdiagnosed as renal cell carcinoma.CASE SUMMARY We report the case of a 41-year-old man who complained of osphyalgia.Subsequent abdominal computed tomography scans revealed that a heterogeneous mass was seen in the lower pole of the right kidney,with the size of about 53 mm×47 mm.And showed two right renal arteries,with the mass supplied by an ectopic vessel from the abdominal aorta.Fluorescent laparoscopic blockade of the right renal heterotopic artery and partial nephrectomy was performed.Based on histological and immunohistochemical findings,the tumor was diagnosed as fatpoor renal angiomyolipoma.CONCLUSION The use of fluorescent laparoscopy can effectively help intraoperative management,and the fluorescence pattern provided by intravenous indocyanine green can help suggest the final diagnosis,effectively guide the surgical decisionmaking,and avoid preoperative imaging diagnosis leading to nephrectomy for benign renal tumors,through fluorescent navigation of tumor supply vessel precise block,minimize the loss of renal function.

Ongoing Blood Pressure Change in Both Upper Extremities: An Unusual Presentation of Aortic Dissection

Aortic dissection is a critical condition requiring immediate assessment and management. Patients with this condition usually present with severe chest pain and high blood pressure. However, because of the variety of presenting symptoms and features, it is a challenge to identify this condition, and patients are frequently misdiagnosed. The potentially critical course of aortic dissection can result in tragedy. We present the case of a 46-year-old woman who initially presented with a light headache and sensory loss in her right upper limb. She had a medical history of hypertension without regular medication, and her blood pressure (BP) was 110/67 mmHg on arrival. Four days later, she was sent to the emergency department again because she experienced transient loss of consciousness lasting for a few minutes. Her BP was 94/57 mmHg in the right arm and 89/54 in the left arm. She was admitted to the hospital, and the pulses in both upper limbs were impalpable on the following day. Chest magnetic resonance imaging (MRI) was arranged, and subsequently, aortic dissection was diagnosed. The case presented with unusual characteristics, which increased the difficulty in immediate correct diagnosis.

The origin of blood supply for cavernous hemangioma of the liver

OBJECTIVE: To investigate the origin of blood supply to cavernous hemangioma of the liver (CHL). METHODS: To observe the relation of cavernous hemangioma of the liver to the hepatic artery and portal vein, we performed serial selective hepatic arteriography in 22 patients. Five patients after ligation of the right hepatic arteries underwent portography and liver staining by in jection of methylene blue into the portal veins and 2 patients had hepatic specimens resected, which were made into a model cast by filling the hepatic veins (yellow) and portal venous branches (blue) with methyl methacrylate after vascular lavage. RESULTS: Serial selective hepatic arteriography showed that hepatic arteries and hemangioma were displayed simultaneously, and that hemangioma was supplied by one to numerous arterial branches. In the portal phase of portography, contrast medium failed to enter the tumor and the intrahepatic branches of the portal vein were pushed aside by the tumor; in the liver parenchymal phase, however, the tumor appeared to be a low-density area. Hepatic arteriography and portography revealed that the fistula between the artery and portal vein may not be existed. The liver stained with methylene blue showed that the normal hepatic parenchyma could be stained with deep blue; in contrast, the tumor was not stained at all. The casting specimens showed that the eroded tumor left a round vacant area because of its total shedding, and no blue stained branches of the portal vein extended into the tumor. CONCLUSION: Blood supply of CHL may originate from the hepatic artery.

Liver blood supply after a modified Appleby procedure in classical and aberrant arterial anatomy

Reported here are two cases of a modified Appleby operation for borderline resectable ductal adenocarcinoma of the pancreatic body, in one of which a R0 distal resection was attended to by excision, not only of the celiac axis, but also of the common and left hepatic arteries in the presence of arterial anatomic variation Michels, type Ⅷb. The possibility and avenues of the maintenance of the blood supply to the left hepatic lobe after surgical aggression of this kind are demonstrated employing computed tomography (CT) and 3-D CT angiography. Furthermore, both cases highlight all important worrisome aspects of pancreatic cancer resectability prediction.

Source of blood supply of liver cavernous hemangioma and sclerosis and embolization treatment

AIM To investigate the source of blood supply of carvenous hemangioma of liver (CHL) and provide a feasibile treatment for CHL via hepatic artery. METHODS Ⅰ. Origin of blood supply of CHL: portovenography, hepatic arteriography and portal vein staining were performed in 5 patients. Two casts of hepatic blood vessels from resected specimen were observed. Ⅱ. Clinical data: Among 75 patients (30 males, 45 females, aged 25～57 years with a mean of 37 4). 56 were of solitary type (44 on the right lobe, 12 on the left with 4 having intraparenchymatoma) and 19 were of multiple type (9 on the right, 2 the left, 8 whole liver). Twenty two patients were treated by sclerosis, 50 by embolization via hepatic artery and 3 were excised. RESULTS In 5 cases with portography, the contrast medium did not enter the tumor, the tumor appeared as low denty area and the intrahepatic branches of portal vein were pushed aside. In 5 cases with portal vein staining, the normal liver parenchyma was stained deep blue, and the tumor was not stained. The tumor area appeared as a round vacant cavity in 2 specimen casts. In 72 patients treated with sclerosis a or embolization via hepatic artery or through interventional method, the tumors diminished by 10%～30% in diameter and no tumors grew larger. CONCLUSION The blood supply of CHL originates from the hepatic artery. Tumors treated with sclerosis and emblization decreased in size or got fiberized.

Applied anatomical study of the vascularized ulnar nerve and its blood supply for cubital tunnel syndrome at the elbow region

Cubital tunnel syndrome is often accompanied by paresthesia in ulnar nerve sites and hand muscle atrophy. When muscle weakness occurs, or after failure of more conservative treatments, anterior transposition is used. In the present study, the ulnar nerve and its blood vessels were examined in the elbows of 18 adult cadavers, and the external diameter of the nutrient vessels of the ulnar nerve at the point of origin, the distances between the origin of the vessels and the medial epicondyle of the humerus, and the length of the vessels accompanying the ulnar nerve in the superior ulnar collateral artery, the inferior ulnar collateral artery, and the posterior ulnar recurrent artery were measured. Anterior transposition of the vascularized ulnar nerve was per- formed to treat cubital tunnel syndrome. The most appropriate distance that the vascularized ulnar nerve can be moved to the subcutaneous tissue under tension-free conditions was 1.8 ± 0.6 cm （1.1-2.5 cm）, which can be used as a reference value during the treatment of cubital tunnel syndrome with anterior transposition of the vascularized ulnar nerve.

INVESTIGATION OF BLOOD SUPPLY OF BRONCHOGENIC CARCINOMA DERIVING FROM PULMONARY ARTERY

Microfil perfusion technique was used to investigate the blood supply of bronchogenic carcinoma deriving from pulmonary artery on 20 fresh specimens of lung cancer, including 11 squamous carcinoma, 6adenocarcinoma, 1 alveolar cell carcinoma and 2undifferentiated carcinoma cases. The results showed that the appearance and quantity of pulmonary blood supply of bronchogenic carcinoma depended on and changed with the site, activity,growth mode as well as the local condition of tumor nodules; pulmonary artery supplied blood to the Periphery of the tumor and its iunermost part as well; vessels from pulmonary artery in tumor nodules were generally less in number than those in the surrounding normal lung tissues around. The results suggested that the tumor blood supply from pulmonary artery should he evaluated comprehensively and dynamically; during interventional chemotherapy via pulmonary artery, patients should bc selected carefully and the catheter for infusion placed in suitable position so as to gain the best therapeutic effect.

THE EFFECTS OF INJURIES IN THE EXTREMITIES ON HUMAN COAGULATION STATUS

Objective To investigate the changes of blood coagulation status and the safety of emergency microsurgery in patients with acute trauma to their extremities. Methods Forty seven patients with open injuries to the extremities were divided into 3 groups: in Group Ia (n=20), the patients presented with open injury to a single limb without traumatic shock and chest or head injuries, and they did not undergo microsurgery; while in Group Ib (n=13), an emergency microsurgery was done. In Group Ⅱ , the patients suffered from multiple compound fractures of the extremities with traumatic shock and chest or head injuries. The blood coagulation status of all the patients was evaluated by testing platelet count (PLC), platelet adhesiveness (PadT), serum antithrombin Ⅲ (AT- Ⅲ ), and D-dimer (D-Di) level. Results In Groups Ia and Ib, only PadT was increased and AT- Ⅲ declined preoperatively, then they returned to normal 24h postoperatively. In Group Ⅱ, at different periods after trauma, there was significant evidence of Pg and AT-Ⅲ decline accompanied by high increase of PadT and D-Di level; at 24h postoperatively, the mean values were 49.3% (PadT), 2.7mg/L (D-Di), 1..1g/L (Pg), and 69.1% (AT-Ⅲ), respectively. All these changes got significant difference (P<0.05) when compared with the normal value and those of Groups Ia and Ib, and did not completely return to normal even 72h after operation. Conclusion An emergency microsurgery could be safely performed in patients with ordinary open injuries to their limbs without traumatic shock, however it should be done with caution in cases of severe injuries with traumatic shock, because hypercoagulation status would follow in several hours after injuries. D-Di measurement may be used as a screening test to predict and assess hypercoagulation status more early after trauma.

质量管理在血站采供血工作中的应用

目的 分析在血站采供血工作中质量管理的应用价值。方法 选取2021年7月—2022年7月在济宁市中心血站献血的70名献血者和11名护理工作人员,均实施质量管理,纳入研究组;另选择2020年5月—2021年5月在血站献血的70名献血者和11名护理工作人员,实施常规管理,纳入对照组。对比和分析工作管理效果。结果 研究组工作管理质量(设备维修保养、责任心、消毒工作质量、环境质量)各项评分高于对照组(P<0.05);研究组献血者总满意度为97.14%,高于对照组的81.43%(P<0.05);研究组一次穿刺成功率、采血质量达标率、健康教育覆盖率分别为92.86%、98.57%、100%,高于对照组的72.86%、85.71%、90.00%,研究组工作差错率为2.86%,低于对照组的17.14%(P<0.05)。结论 在血站采供血工作中质量管理应用价值较高,在工作管理质量、献血者满意度、一次穿刺成功率、采血质量达标率、工作差错率、健康教育覆盖率方面优势明显。

保障极端高温事件下负荷可靠供应的楼宇综合能源规划

近年来极端高温事件频发,负荷侧用电需求激增,电源侧供应能力不足,有必要开展保障极端高温事件下商业综合体楼宇负荷可靠供应的综合能源规划研究。首先,对极端高温事件影响进行建模,并划分重要负荷可靠供应集合,同时建立电价型需求响应改变负荷曲线,在极端高温事件下,叠加激励型需求响应来进一步降低负荷水平,考虑经济因素与心理因素对其用户响应概率的影响,并对其不确定性进行描述;其次,以楼宇的规划周期内年总规划成本最优为目标,建立决策楼宇各能源设备型号及台数的楼宇极端高温事件下负荷可靠供应规划模型。利用综合范数约束普通场景、布尔变量约束极端高温场景的概率分布的分布鲁棒优化模型应对屋顶分布式光伏、光伏幕墙及负荷的不确定性。最后,通过算例表明,所提模型在保障极端事件下负荷可靠供应方面具有良好的经济性及鲁棒性。研究成果可为楼宇综合能源规划提供一定的参考。

基于凸包算法的极端运行方式提取方法

在电力系统规划与运行的安全稳定计算中,一般选择对安全稳定最不利的运行方式进行校验,但随着新能源渗透率的增加,电网越发复杂多变,人工选择场景主观性较强,针对此问题,提出了一种基于快速凸包算法的极端运行方式提取,从而满足场景选取进行安全校核需求。从电源规划、发输电协调规划两个角度,考虑发电充裕性、火电爬坡需求、网络传输安全3个方面,分析影响规划的极端运行方式;基于凸包算法分别从上述3个方面构建坐标系进行极端运行方式提取;采用中国西北地区电网为算例进行极端运行方式提取,并与基于K-means算法的极端场景提取做对比,结果表明:所提方法能为场景选取提供有效数据支撑,满足电网规划要求。

2021—2023年江西省采供血机构血液安全调研情况分析

目的调查分析江西省各采供血机构贯彻落实法律法规情况和工作开展情况,持续提升血液安全水平,保障血液和血液制品质量安全。方法采取听取汇报、查阅资料、实地查看等方式对2021—2023年江西省12家血站、16家单采血浆站开展血液安全调研。结果通过调研,了解了本省各采供血机构工作中的亮点特色,同时也发现了本省采供血机构在人员、机器、物料、方法、环境方面存在的问题,3年的调研中,血站累计发现问题111次,单采血浆站累计发现问题157次。结论根据调研结果,让本省各采供血机构明确改进的方向,也为卫生行政管理部门制定政策提供依据,提高采供血服务水平和血液质量安全监督工作效率。

小于32周早产儿视网膜病变的临床资料及血象分析

目的探讨相关临床资料及血象对小于32周早产儿视网膜病(ROP)的影响。方法回顾性分析资料完整的2021年06月—2024年01月新生儿科收治的小于32周的早产儿,包括极早产儿组(胎龄28~31+6周)327例及超早产儿组(胎龄<28周)50例;收集两组早产儿的ROP组和非ROP组住院资料及所有血常规结果,通过单因素和多因素分析探讨ROP发生的高危因素;以受试者工作特征曲线(ROC)确定临界值,曲线下面积(AUC)评估危险因素的预测价值。结果极早产儿ROP检出率为12.5%(41/327),其中需手术比例为1.22%(4/327);超早产儿ROP的检出率为76.0%(38/50),其中需手术比例为20.0%(10/50)。极早产儿ROP组与非ROP组在胎龄、出生体重、有创机械通气时间、吸氧总时长、BPD、败血症、NEC、PNAC、ICH及住院期间血红蛋白最低值、白细胞平均值、嗜酸性粒细胞平均值、单核细胞平均值等差异有统计学意义(P<0.05);超早产儿ROP组与非ROP组在出生体重、吸氧总时长、BPD方面差异有统计学意义(P<0.05),全血计数资料差异均无统计学意义。经多因素Logistic回归分析结果显示,有创通气时间、NEC、ICH、血红蛋白最低值、嗜酸性粒细胞平均值是极早产儿组ROP发生的独立危险因素;超早产儿组未发现ROP独立危险因素。通过ROC曲线,有创机械通气对应的诊断临界值为5.5 d,提示极早产儿有创机械通气时间超过5.5 d,发生ROP的风险将增加;嗜酸性粒细胞对应的诊断临界值为0.245×10^(9)/L,提示极早产儿有嗜酸性粒细胞超过0.245×10^(9)/L,发生ROP的风险将增加;两者AUC在0.5~0.7,提示预测ROP效能较低。结论有创通气时间长、发生NEC、颅内出血、贫血程度越重、嗜酸性粒细胞升高是极早产儿ROP发生的独立危险因素;有创通气超过5.5 d或者嗜酸性粒细胞超过0.245×10^(9)/L的极早产儿,应高度重视发生ROP的风险;超早产儿ROP发生率及手术率高,可能因病情变化复杂,需要更多样本资料,去发现独立危险因素。

吕培文应用鸡血藤治疗下肢动脉硬化闭塞症经验

下肢动脉硬化闭塞症可导致的肢体疼痛及致残等情况,给人们健康及经济带来极大负担,中医药在其治疗上有一定的优势。吕培文教授认为“络脉瘀滞”是下肢动脉硬化闭塞症主要病理改变,提出了“络以通为用”的观念,从而形成以“活血通络”为主的治法。鸡血藤具有补血活血、舒筋通络之功效,为补血活血类常用传统中药。临床上吕培文教授将其广泛应用于下肢动脉硬化闭塞症的治疗,切实针对“络脉瘀滞”的病因病机,辨证配伍补气、补血养阴、温经散寒、清热、活血化瘀、化痰祛湿、理气类药物,可达到活血通络之功效。

我国采供血机构双轨用工的问题与对策研究

目的 探析采供血机构双轨用工的问题,为优化人力资源管理提供对策建议。方法 运用专用调查表,对全国229家采供血机构进行调研,统计编制与非编制人员的数量、流动量等信息,并使用T检验进行差异性分析。结果 全国采供血机构普遍存在编制配比变动迟滞、人员新进量存在差异、自因型人员流失量差异明显、薪酬管理体系复杂且多样化的问题。结论 加强对双轨用工所带来的管理复杂性的认识,规划人员编制标准的动态机制,创新编制内外人员管理,优化人员配置结构。

CT平扫与CTPA在肺栓塞邻近肺组织血供变化中的诊断价值对比

目的:对比分析CT平扫与CT肺动脉血管成像(CTPA)在肺栓塞邻近肺组织血供变化中的诊断价值。方法:回顾性分析120例急性肺栓塞患者,其中主肺动脉栓塞(主肺动脉栓塞组)、左右肺动脉干栓塞(左右肺动脉干栓塞组)、叶间动脉栓塞(叶间动脉栓塞组)各40例。3组均行肺部CT平扫及CTPA。3组CT值与CTPA血流参数行Pearson相关性分析。3组CT值行logistic回归分析。采用ROC曲线分析各组CT值对肺栓塞邻近肺组织血供变化的诊断效能。结果:3组的CT值与肺毛细血管嵌压(PCWP)、肺动脉舒张压(PAPd)、肺动脉收缩压(PAPs)均呈正相关(均P<0.05)。多因素logistic回归分析显示,PCWP、PAPd、PAPs是影响各组CT值的独立危险因素(均P<0.05)。主肺动脉栓塞组平扫CT值诊断肺组织血供变化的敏感度为82.12%、特异度为81.31%、AUC为0.735,左右肺动脉干栓塞组分别为83.10%、82.10%、0.741,叶间动脉栓塞组分别为80.01%、82.00%、0.723。结论:CT平扫可准确反映肺栓塞邻近肺组织血供变化,可作为临床诊断肺栓塞的间接征象。

不同针灸介入时机对大脑中动脉供血区急性脑梗死神经功能预后的影响

目的观察不同针灸介入时机对大脑中动脉供血区急性脑梗死神经功能预后的影响。方法回顾性选取2020年1月—2022年8月收治的116例大脑中动脉供血区急性脑梗死患者的临床资料进行分析,根据针灸介入时机分为两组。两组均进行静脉溶栓及常规药物治疗,观察组61例患者于发病72 h内给予针灸治疗,对照组55例患者于发病2周时给予针灸治疗。检测两组不同时间点侧支循环代偿情况、脑损伤标志物的水平,评估两组不同时间点简易精神状态检查(Mini-mental state examination,MMSE)评分、神经功能评分、Barthel指数(Barthel index,BI)评分、肢体运动功能评分、中医症状评分的差异,统计两组疗效。结果治疗前,两组侧支循环代偿情况比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组患侧大脑前动脉平均血流速度与对侧大脑中动脉平均血流速度的比值(Ratio of the average flow ve⁃locity of the affected anterior cerebral artery to the average flow velocity of the contralateral middle cerebral artery,iVACA/cVM⁃CA)较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组患侧大脑后动脉平均血流速度与对侧大脑中动脉平均血流速度的比值(Ratio of the average flow velocity of the affected posterior cerebral artery to the average flow velocity of the contralateral middle cerebral artery,iVPCA/cVMCA)与治疗前比较,差异无统计学意义(P>0.05)。治疗前,两组脑损伤标志物比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组脑源性神经营养因子(Brain-derived neurotrophic factor,BDNF)较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组钙结合蛋白β(Calcium binding proteinβ,S100β)、神经胶质纤维酸性蛋白(Glial fibrillary acid protein,GFAP)较治疗前下降,观察组同时间点较对照组更低(P<0.05)。治疗前,两组Fugl-Meyer评分、中医症状评分等相关评分比较,差异无统计学意义(P>0.05)。治疗4周和随访时,两组MMSE评分、BI评分及上肢和下肢Fugl-Meyer评分较治疗前升高,观察组同时间点较对照组更高(P<0.05);两组美国国立卫生院神经功能缺损(National institutes of health stroke scale,NIHSS)评分、中医症状评分较治疗前下降,观察组同时间点较对照组更低(P<0.05)。观察组总有效率为88.52%(54/61)高于对照组的72.73%(40/55),差异有统计学意义(P<0.05)。结论发病72h内采用针灸治疗可改善大脑中动脉供血区急性脑梗死脑损伤标志物的表达,改善脑血流,促进神经功能的恢复,有利于疾病的康复。

不确定环境下采血点定位-资源配置集成决策的鲁棒优化

为提高血液采集量、缓解血液短缺现状,研究不确定环境下两类采血点定位-资源配置集成决策优化问题。首先,考虑区域人流量、献血活跃度等因素对采血点权重的影响,基于广义最大覆盖模型,建立以覆盖权重最大为目标的采血点定位-资源配置集成决策模型。在此基础上,采用鲁棒优化技术处理可用献血车、人员和设备等参数的不确定性,建立相应的鲁棒优化模型。针对模型特点,设计改进的灰狼优化算法对模型进行求解。数值结果表明,改进的灰狼优化算法优于传统灰狼优化算法与粒子群算法。

基于“痹岩同归”浅析从癥瘕积聚论治糖尿病性下肢血管斑块性病变

中医认为糖尿病性下肢血管斑块性病变与中医学“岩症”在病因病机及发生发展过程有一定的相似之处,即痰浊-瘀血-岩积的形成。本文将以“岩症”的治疗思路为切入点,通过对糖尿病性下肢血管斑块性病变与“岩症”的发展的相关性分析,在治疗上试用中医治疗“岩症”的遣方用药思路治疗糖尿病性下肢血管斑块性病变,早期以化痰化浊为主,中期活血化瘀,后期破血攻凿“岩”性斑块,总结提出“痹岩同归”之理念,为临床治疗糖尿病性下肢血管斑块性病变提供一种新的思路。

山东省血站献血服务、成分制备及血液供应过程质量监测指标体系的应用

目的建立有效的献血服务、成分制备及血液供应过程质量指标监测体系,客观地评价血液采集、制备和供应过程的质量控制水平,促进血站采供血过程的持续优化和标准化管理。方法建立覆盖采供血全过程的献血服务、成分制备、血液检测、血液供应和质量控制的质量监测指标体系,向山东省17家血站发放《采供血过程质量监测指标统计表》,明确指标定义和计算公式,收集各血站2022年1—12月质量监测指标数据,利用SPSS25.0软件对其中的献血服务(10个)、成分制备(7个)和血液供应(4个)3个方面21个质量监测指标数据进行统计学分析,并比较了不同规模血站质量监测指标的差异。结果17家血站献血服务过程质量监测指标平均值分别为:定期献血者比例44.66%(2233/5000)、献血不良反应发生率0.22%(11/50)、非标量全血采集率0.46%(23/5000)、HBsAg初筛漏检率0.052%(13/25000)、血液采集一针率99.42%(4971/5000)、双份单采血小板采集率86.49%(173/200)、400 mL全血采集率66.50%(133/200)、献血者满意度99.25%(397/400)、带旁路留样系统全血采集袋使用率82.68%(2067/2500)、血液采集职业暴露发生数1例;定期献血者比例和400 mL全血采集率具有较强的正相关(P<0.05);大型血站双份单采血小板采集率、献血不良反应发生率和非标量全血采集率显著低于中、小型血站(P<0.05)。17家血站成分制备过程质量监测指标平均值分别为:血液成分制备血袋破损率0.03%(3/10000)、乳糜血报废率3.05%(61/2000)、溶血报废率0.13%(13/10000)、贴签错误发生数0.06件、血液导管渗漏数8袋、血液穿刺/接驳渗漏数2.76袋、耗材不合格数0.59件;大型血站溶血报废率显著低于中型和小型血站(P<0.05)、大型和中型血站乳糜血报废率显著低于小型血站(P<0.05)。17家血站血液供应过程质量监测指标平均值分别为:血液制剂过期报废率0.023%(23/100000)、血液制剂储存发放破损率0.009%(9/100000)、退血报废率0.106%(53/50000)、用血医院服务满意度99.16%(2479/2500)。不同血站之间血液制剂储存发放破损率与血液成分制备血袋破损率差异具有统计学意义(P<0.05)。在大、中和小型血站之间定期献血者比例、献血不良反应发生率、非标量全血采集率、400 mL全血采集率、双份单采血小板采集率,血液成分制备血袋破损率、乳糜血报废率、溶血报废率、血液制剂过期报废率、血液制剂储存发放破损率和退血报废率的差异具有统计学意义(P均<0.05)。结论山东省血站献血服务、成分制备及血液供应过程质量监测指标体系的建立具有较好的适用性、可行性和有效性,能够客观评价血站采供血过程质量管理水平,推进全省血液管理同质化和标准化发展,为今后开展血站综合评价奠定基础。