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临床输血与检验

临床输血与检验 ›› 2018, Vol. 20 ›› Issue (4): 377-379.DOI: 10.3969/j.issn.1671-2587.2018.04.013

• 临床输血 • 上一篇    下一篇

儿内科患者输注红细胞血红蛋白危急值探索

王孟键,马曙轩,赵地,张慧敏,邱立娟,邵华,刘倩   

  1. 100045 北京,首都医科大学附属北京儿童医院输血科（王孟键,马曙轩,张慧敏,邱立娟,邵华,刘倩）；
    首都医科大学附属北京儿童医院医务处（赵地）
  • 收稿日期:2018-01-19 出版日期:2018-08-20 发布日期:2018-08-14
  • 通讯作者: 马曙轩,男,主任技师,主要从事临床输血研究,（Tel）010-59616422（E-mail）masxfwyy@sina.com。
  • 作者简介:王孟键（1992–）,男,北京人,检验士,主要从事临床输血研究,（Tel）13811874413（E-mail）624148023@qq.com。

Study on the Critical Value of Hemoglobin for the erythrocytes Infusion in Pediatrie Patients

WANG Meng-jian,MA Shu-xuan,ZHAO Di,et al.   

  1. Beijing Children's Hospital Blood Transfusion Department,Capital Medical University,Beijing 100045
  • Received:2018-01-19 Online:2018-08-20 Published:2018-08-14

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摘要： 目的 探索内科患儿及新生儿输注红细胞血红蛋白（Hb）危急值，用于临床输血危急值管理。方法 分别收集本院的白血病、肿瘤、组织细胞病、骨髓移植前后患者，以及来自儿童重症病房、急诊内科、其他内科（共计657例）及新生儿内科（共计45例）等内科患儿，启动输注红细胞的Hb阈值，进行统计分析，据此分别制定全院内科患儿及新生儿输注红细胞危急值。结果 8个内科组输注红细胞平均Hb为（76.39±8.53）g/L（n=657例），新生儿组输注红细胞的平均Hb为（101.30±40.1）g/L（n=45例）。经医院输血管理委员会讨论通过，将儿童内科输注红细胞Hb危急值定为75 g/L，新生儿输注红细胞Hb危急值定为100 g/L，将该危急值发布到全院各科室执行。发布前后患儿人均输注红细胞下降0.2 U，新生儿人均输注红细胞下降0.1 U。结论 通过制定红细胞输注危急值，并在全院实施，可以有效降低患儿红细胞输注量，节约血液资源，提高患儿输血安全。

关键词: 儿童, 新生儿, 血红蛋白危急值

Abstract: Objective To explore hemoglobin critical value for pediatric patients and patients with neonatal transfusion of red blood cell，and used it in clinical transfusion management of critical value. Methods Respectively threshold for starting the transfusion of red blood cells were collected in children hospitalized with leukemia，cancer，tissue cells and bone marrow transplantation before and after the children，pediatric intensive care unit，neonatal medical children，children with other children with medical and emergency medicine，and statistically analysed，based on on the study，children with partial internal medicine and neonatal infusion of red blood cells critical value was established，and used in hospital transfusion management. Results Eight medical group average Hb was 76.39 g/L for transfusion of red blood cells，transfusion of red blood cells of newborn group average Hb was 101.30 g/L. Through discussion by the hospital transfusion management committee，hemoglobin critical value is set as 75 g/L for pediatric medical transfusion of red blood cell，the newborn transfusion of red blood cell hemoglobin critical value as 100 g/L，new critical value will be released to the floor of each department. Release of new critical value before and after transfusion of red blood cells per patient fell by 0.2 U，neonatal infusion of red blood cells per patient fell 0.1 U. Conclusion Through the formulation of red blood cells infusion critical value，and on the floor，can effectively reduce the amount of red blood cell transfusion in children，save blood resources，improve children blood transfusion safety.

Key words: Children, Newborn , Critical value of hemoglobin

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