国际输血及血液学杂志
國際輸血及血液學雜誌
국제수혈급혈액학잡지
International Journal of Blood Transfusion and Hematology
2015年
5期
369-372
,共4页
血液成分输血%红细胞%血浆%血小板%冷沉淀%输血
血液成分輸血%紅細胞%血漿%血小闆%冷沉澱%輸血
혈액성분수혈%홍세포%혈장%혈소판%랭침정%수혈
Blood component transfusion%Erythrocytes%Plasma%Blood platelets%Cryoprecipitate%Blood transfusion
目的 探讨科学合理用血经验,为进一步提高临床输血质量提供依据.方法 收集2001年1月至2014年12月解放军总医院全血及各成分血用量、外科手术台数、输血总人数及外科主要成分血(红细胞、血浆与血小板)输注例次等临床资料为研究对象.分析本院2001-2014年全血及各成分血应用变化趋势,内、外科各成分血用量变化特点,外科手术红细胞、血浆及血小板输注例次及人均和台均用血量的变化规律.结果 随着本院床位数增加,2001-2011年临床用血总量呈上升趋势,近3年稳中有降.其中,成分血应用比例超过本院临床用血总量的99％,全血、红细胞、血浆、冷沉淀与血小板用量分别占本院临床用血总量的0.5％,50.4％,38.6％,2.4％与8.2％.红细胞和血浆主要用于外科手术,血小板主要用于内科出血性疾病.外科患者手术台均和人均红细胞和血浆用量均比较稳定,人均血小板用量呈逐步下降趋势.结论 本院2001-2011年,每年用血总量随医院床位数增加而增加,近3年(2012-2014年)则呈缓慢下降趋势,成分血应用比例合理.
目的 探討科學閤理用血經驗,為進一步提高臨床輸血質量提供依據.方法 收集2001年1月至2014年12月解放軍總醫院全血及各成分血用量、外科手術檯數、輸血總人數及外科主要成分血(紅細胞、血漿與血小闆)輸註例次等臨床資料為研究對象.分析本院2001-2014年全血及各成分血應用變化趨勢,內、外科各成分血用量變化特點,外科手術紅細胞、血漿及血小闆輸註例次及人均和檯均用血量的變化規律.結果 隨著本院床位數增加,2001-2011年臨床用血總量呈上升趨勢,近3年穩中有降.其中,成分血應用比例超過本院臨床用血總量的99％,全血、紅細胞、血漿、冷沉澱與血小闆用量分彆佔本院臨床用血總量的0.5％,50.4％,38.6％,2.4％與8.2％.紅細胞和血漿主要用于外科手術,血小闆主要用于內科齣血性疾病.外科患者手術檯均和人均紅細胞和血漿用量均比較穩定,人均血小闆用量呈逐步下降趨勢.結論 本院2001-2011年,每年用血總量隨醫院床位數增加而增加,近3年(2012-2014年)則呈緩慢下降趨勢,成分血應用比例閤理.
목적 탐토과학합리용혈경험,위진일보제고림상수혈질량제공의거.방법 수집2001년1월지2014년12월해방군총의원전혈급각성분혈용량、외과수술태수、수혈총인수급외과주요성분혈(홍세포、혈장여혈소판)수주례차등림상자료위연구대상.분석본원2001-2014년전혈급각성분혈응용변화추세,내、외과각성분혈용량변화특점,외과수술홍세포、혈장급혈소판수주례차급인균화태균용혈량적변화규률.결과 수착본원상위수증가,2001-2011년림상용혈총량정상승추세,근3년은중유강.기중,성분혈응용비례초과본원림상용혈총량적99％,전혈、홍세포、혈장、랭침정여혈소판용량분별점본원림상용혈총량적0.5％,50.4％,38.6％,2.4％여8.2％.홍세포화혈장주요용우외과수술,혈소판주요용우내과출혈성질병.외과환자수술태균화인균홍세포화혈장용량균비교은정,인균혈소판용량정축보하강추세.결론 본원2001-2011년,매년용혈총량수의원상위수증가이증가,근3년(2012-2014년)칙정완만하강추세,성분혈응용비례합리.
Objective To summarize the experience of scientific and reasonable blood transfusion,andprovide the basis for improving further quality of clinical transfusion.Methods Volume of applied whole blood and various blood components,the number of surgical operation,the total number of people who received blood transfusion,and transfusion cases of major blood components (red blood cells,plasma and platelets) in surgery and so on were studied from 2001 to 2014 in Chinese PLA General Hospital.The changes of blood application in our hospital from 2001 to 2014 were compared,and the applied trends of whole blood and every blood component and the volume of each blood component in internal and surgical department were analyzed.What's more,the changes of erythrocytes,plasma and platelet transfusion cases,average volume in each surgery and each case were analyzed from 2001 to 2014.Results With the increase of the number of hospital beds,the total amount of blood transfused from 2001 to 2011 were rising,and showed steady decline in past three years.The proportion of blood components in the total amount of blood transfused was more than 99％.The proportion of whole blood,red blood cells,plasma,platelets and cryoprecipitate in the total amount of blood tranfused were 0.56％,52.60％,38.20％,2.30％ and 6.90％,respectively.Red blood cells and plasma were mainly used in surgical operation,while platelets were mainly used in departments of internal medicine.The average volume of red blood cells and plasma for each case and each person in operation showed steady trend,and platelets tended to decline.Conclusions As the number of hospital beds increasing,the total amount of blood transfused rised from 2001 to 2011,and showed steady decline in the past three years (2012 to 2014).The proportion of component blood in our hospital is reasonable.
