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临床输血与检验

临床输血与检验 ›› 2016, Vol. 18 ›› Issue (6): 541-544.DOI: 10.3969/j.issn.1671-2587.2016.06.010

• 临床输血 • 上一篇    下一篇

合理备血在心脏外科手术中的探讨

洪毅   

  1. 710075 陕西省西安高新医院输血科
  • 收稿日期:2016-06-11 出版日期:2016-12-20 发布日期:2016-12-23
  • 作者简介:洪毅（1975-）,男,陕西西安人,主管技师,学士,主要从事输血管理及检验工作,（Tel）13991933029。

An Investigation of Appropriate Blood Preparation for Cardiac Surgery

HONG Yi   

  1. Blood Transfusion Department,Xi'an High-tech Hospital,Xi'an 710075
  • Received:2016-06-11 Online:2016-12-20 Published:2016-12-23

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摘要： 目的 通过分析心脏外科503例手术患者的备血和用血状况,旨在为医院输血科提供合理备血的依据。方法 统计2014年1~12月间本院心脏外科各病种及患者年龄、备血人数、备血量、备血成分、用血人数、用血量、用血成分等。 结果 红细胞悬液和血浆的用血人数占备血人数的百分比仅为60.64%和59.05%,这两种成分的用血量占备血量的百分比分别为86.13%和79.35%,红细胞悬液有30.49%、血浆有29.29%的个体用血量超出备血量,超出的量1~5倍不等。结论 依据各血液成分用血可能性和实际用血间的相关性和差异,制定合理的库存量和备血方案,既要保证手术和紧急救治用血,又要保证安全用血和节约血液资源。

关键词: 备血, 输血, 血液安全, 合理库存

Abstract: ObjectiveTo analyze the blood preparation and transfusion in 503 patients with cardiac surgery in 2014 and provide a reference for Blood Transfusion. MethodThe statistical data includes the amount of blood preparation and transfusion,the number of blood preparation and transfusion patients,the components of blood preparation and transfusion. ResultThe result showed that the proportion of red cell suspension and plasma transfusion was 60.64% and 59.05%. And the proportion of the amount of red cell suspension and plasma transfusion in blood preparation was 86.13% and 79.35%. More than 1/3 individuals received more red cell suspension （30.49%） and plasma transfusion（29.29%） during cardiac surgeries. The amount was 1~5 times higher than expected.ConclusionAccording to the correlation and difference between blood preparation and consumption,the blood storage and plan should be optimized to providesufficient blood for the operations in emergency and ensure blood resource to be safe and reasonable.

Key words: Blood, preparation, Blood, transfusion, Blood, safety, Reasonable, storage

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