摘要
目的:分析3000例围术期患者的用血合理性。方法:回顾性分析2014年1月至2019年9月惠州市中心人民医院收治的3000例患者的临床资料,分析其用血合理性。结果:3000例患者中2305例合理输血,合理比例为76.83%(2305/3000),其中血浆、血小板、冷沉淀凝血因子、红细胞合理输血比例分别为79.40%(659/830)、89.39%(219/245)、78.00%(85/109)、73.90%(1342/1816);输血指征过宽(54.82%)、无指征输血(25.18%)、过量输血(21.26%)为输血不合理的主要原因。结论:围术期患者存在输血不合格情况,临床上应加强输血管理,提高输血合理性,以保证临床手术用血需求。
Objective:To analyze the rationality of perioperative blood use in 3000 patients.Methods:The clinical data of 3000 patients admitted to Huizhou Central People’s Hospital between January 2014 and September of 2019 were retrospectively analyzed for rationality of blood use.Results:Of the 3000 cases,2305 fulfilled criteria for rational blood transfusion,with a rationality ratio of 76.83%(2305/3000).Among them,the proportion of rational transfusion of plasma,platelets,cold-precipitated coagulation factors,and red blood cells were 79.40%(659/830),89.39%(219/245),78.00%(85/109),and 73.90%(1342/1816).Overly indicated transfusion(54.82%),non-indicated transfusion(25.18%),and excessive transfusion(21.26%)were major causes of irrational blood transfusion.Conclusion:Improper blood transfusion may happen in perioperative patients.In clinical settings,efforts should be exerted to enhance management of blood transfusion,so that the rationality of blood transfusion can be improved and the blood demands from clinical operations can be met.
作者
宋泽林
朱子夫
徐瑶
Song Zelin;Zhu Zifu;Xu Yao(Huizhou Central People’s Hospital,Huizhou,Guangdong 516200,China)
出处
《广州医科大学学报》
2019年第6期93-94,98,共3页
Academic Journal of Guangzhou Medical University
关键词
用血合理性
围术期
输血指征
rationality,blood use
perioperative period
indications,blood transfusion
