血液收回及血液调配原因分析和对策.docVIP

血液收回及血液调配原因分析和对策 　　【摘要】 目的探讨本市临床医疗机构退血的原因，杜绝血液不必要的浪费，保障临床血液质量及输血安全。方法对本市医疗机构在2008 -2013年期间退回的血液品种、量、原因进行分类统计分析。 结果血液收回共计364袋次，包括血浆323袋次（88.7%）、红细胞30袋（8.2%）、手工血小板7袋（1.9%）、冷沉淀4袋（1.2%）等5种成分。血浆破损（85.4%）是血浆收回的主要原因，红细胞收回的主要原因为溶血（46.7%）及乳糜（23.3%）。2009年与2010年及2013年血液收回有统计学差异（均 P＜0.01）,其余各年份之间均无统计学差异（均P＞0.05）。血液调配共计396袋次，红细胞调配393袋（99.2%），各血型调配AB＞B＞A＞O， 2011-2013年与2008-2010年血液调配率差异有统计学意义（P＜0.01）。结论 ：应制定相应措施，加强过程管理，规范操作，减少质量缺陷血液，保证血液质量。加强血液库存量管理，制定科学合理的采、配血计划，减少血液调配，杜绝过期报废。 　　【关键词】血液收回血液调配血液报废最佳库存量血液管理 　　Analysis and Countermeasures on the recovery of blood and blood distribution causes 　　 YUANjie-qiu,et al guangan BloodCenter, guangan 638300 　　【Abstract】 Objective:To explore the causes of clinical medical institutions in this city from blood, prevent blood unnecessary waste, ensuring quality and clinical blood transfusion safety. Method:This paper makes statistical analysis on medical institutions in this city in the 2008 period -2013 returned blood types, quantity, cause. Results :Recovery of blood total 364 bags, including plasma bag 323 times (88.7%), red blood cell 30 bags (8.2%), 7 (1.9%) manual platelet bag, 4 bag of cryoprecipitate (1.2%) of 5 components. plasma damage (85.4%) is the main reason for plasma recovery, the main reasons for red blood cells to recover the hemolysis (46.7%) and one (23.3%).In 2009 and 2010 and 2013 recovery of blood had significant difference (P ＜ 0.01) between the rest of the year, had no statistical difference (P 0.05). the deployment of a total of 396 bags of blood, red blood cell allocation of 393 bags (99.2%), the type of deployment of AB B A O, 2011-2013 and 2008-2010 blood allocation rate were significant (P 0.01). Conclusion: Should formulate corresponding measures, to strengthen the process of management, standardized operation, reduce the quality of blood, guarantee the quality of blood. strengthen the blood inventory management, formulate scientific and reasonable production plan, with blood, reducing the blood distribu