中国癌症杂志
中國癌癥雜誌
중국암증잡지
CHINA ONCOLOGY
2014年
11期
857-860
,共4页
闫睿%孟馥芬%刘亚华%王江
閆睿%孟馥芬%劉亞華%王江
염예%맹복분%류아화%왕강
合理输血%输血指征%调查分析
閤理輸血%輸血指徵%調查分析
합리수혈%수혈지정%조사분석
Appropriate application of blood%Transfusion indication%Analysis
背景与目的：国内外科系统的合理用血比例不足半数，肿瘤患者手术过程中易出现急性大失血，本研究旨在了解新疆医科大学附属肿瘤医院肿瘤患者术中用血情况，提高围术期合理用血水平。方法：回顾分析2012年10月—2013年12月在该院行非急诊手术并输注异体血肿瘤患者的临床资料，根据卫生部《临床输血技术规范》分析术中各科室用血合理性。结果：共纳入299例肿瘤患者，成分输血率为100%，红细胞合理性输注比例为91.8%，血浆合理性输注比例为85.0%。妇科、胃肠外科、骨科、肝胆外科、神经外科、泌尿外科和胸外科红细胞合理性输注比例分别为88.9%、91.8%、94.3%、96.3%、91.6%、100%和81.3%，血浆合理性输注比例分别为86.2%、71.8%、96.4%、78.4%、100%、100%和87.5%。结论：术中成分输血虽开展良好，但仍存在术中不合理输血现象，需对医务人员加强临床输血知识的培训。
揹景與目的：國內外科繫統的閤理用血比例不足半數，腫瘤患者手術過程中易齣現急性大失血，本研究旨在瞭解新疆醫科大學附屬腫瘤醫院腫瘤患者術中用血情況，提高圍術期閤理用血水平。方法：迴顧分析2012年10月—2013年12月在該院行非急診手術併輸註異體血腫瘤患者的臨床資料，根據衛生部《臨床輸血技術規範》分析術中各科室用血閤理性。結果：共納入299例腫瘤患者，成分輸血率為100%，紅細胞閤理性輸註比例為91.8%，血漿閤理性輸註比例為85.0%。婦科、胃腸外科、骨科、肝膽外科、神經外科、泌尿外科和胸外科紅細胞閤理性輸註比例分彆為88.9%、91.8%、94.3%、96.3%、91.6%、100%和81.3%，血漿閤理性輸註比例分彆為86.2%、71.8%、96.4%、78.4%、100%、100%和87.5%。結論：術中成分輸血雖開展良好，但仍存在術中不閤理輸血現象，需對醫務人員加彊臨床輸血知識的培訓。
배경여목적：국내외과계통적합리용혈비례불족반수，종류환자수술과정중역출현급성대실혈，본연구지재료해신강의과대학부속종류의원종류환자술중용혈정황，제고위술기합리용혈수평。방법：회고분석2012년10월—2013년12월재해원행비급진수술병수주이체혈종류환자적림상자료，근거위생부《림상수혈기술규범》분석술중각과실용혈합이성。결과：공납입299례종류환자，성분수혈솔위100%，홍세포합이성수주비례위91.8%，혈장합이성수주비례위85.0%。부과、위장외과、골과、간담외과、신경외과、비뇨외과화흉외과홍세포합이성수주비례분별위88.9%、91.8%、94.3%、96.3%、91.6%、100%화81.3%，혈장합이성수주비례분별위86.2%、71.8%、96.4%、78.4%、100%、100%화87.5%。결론：술중성분수혈수개전량호，단잉존재술중불합리수혈현상，수대의무인원가강림상수혈지식적배훈。
Background and purpose:Reasonable proportion with blood less than half of the surgical system, cancer patients during surgery prone to acute massive blood loss, this study aimed to investigate blood transfusion in the patients who diagnosed with cancer during operation in the Afifliated Tumor Hospital of Xinjiang Medical University, and in order to improve the intraoperative blood transfusion and make it more scientiifc and more reasonable.Methods:The patients who were taken selective operations and heterogenous blood transfusions in the Afifliated Tumor Hospital of Xinjiang Medical University from Oct. 2012 to Dec. 2013 were enrolled, and the clinical data were retrospectively surveyed and investigated.The intraoperative use of blood components and reasonableness in each department were analyzed.Results:The medical records of 299 blood transfusion receipts proportions of reasonable transfusion of RBC from department of gastrointestinal surgery, gynecology, orthopedics, hepatobiliary surgery, neurosurgery, urological surgery and thoracic surgery were 88.9%, 91.8%, 94.3%, 96.3%, 91.6%, 100%, 81.3%,respectively. And the proportions of reasonable transfusion of plasma were 86.2%, 71.8%, 96.4%, 78.4%, 100%, 100%, 87.5%, respectively. The proportions of low-volume blood transfusion and the combined transfusion of RBC and plasma were 62.5% and 43.2% in unreasonable blood transfusion.Conclusion:Except for the unreasonableness in very few departments, the intraoperative blood component transfusion is carried on fairly well. The medical staff still should be further trained in the appropriate use of blood and strengthened the knowledge on blood transfusion.
