摘要
目的:系统分析血液报废的原因,探寻减少血液报废办法,有效地保护血液资源、提高血站综合服务能力。方法比较我站2011年~2013年血液报废率,统计分析血液报废品种构成情况、查找分析报废原因。结果血液报废率呈现逐年上升趋势,血液品种报废率最高为血浆(院13.4%),其次为悬浮红细胞(院10.06%);报废原因中报废率最高为ALT升高(院62.38%)、其次为脂肪血(院13.89%)报废率逐年显著升高、HBsAg阳性(:7.72%)、实验室其它检测项(:7.98%)、梅毒抗体阳性(:5.99%)。结论减少血液报废,关键在于献血者征询和初筛,要从人员、物料、设备、献血者宣传教育、献血者筛查、血液采集、运送和制备、储存、发放等多个环节做好过程控制。
Objective Make a statistical analysis of causes of blood scrapped,explore ways to reduce blood scrapped,ef ectively protect the blood resources,and improve comprehensive service ability of the blood center.Methods Compare tne blood scrap rate from 2011 to 2013 of our center,make a Statistical analysis of the composition of blood scrapped varieties,then search and analysis reasons for blood scrapped.Results The blood scrap rate shows a rising trend year by year,and the highest scrap rate of blood varieties is plasma(:13.4%),then is the suspended red blood cel(:10.06%);Among the reasons for blood scrapped,The highest scrap rate is the rise of ALT(:62.38%),and then is the significantly rise year by year of fat blood(:13.89%),HBsAg positive(:7.72%),Other test items in the lab(:7.98%),and the antibody of syphilis positive(:5.99%).Conclusion The key method to reduce blood scrapped is the consultation and screening of blood donors,at the same time we should do the process control from multiple links such as the personnel,materials,equipment,donors publicity and education,donor,screening,and the col ection,preparation,storage,transportation,distributionof blood and so on.
作者
杨红梅
吴鸽
YANG Hong-mei;WU Ge(Guangyuan Blood Center,Guangyuan 628017,Sichuan,China)
关键词
血液报废
分析
对策
Blood scrapped
Analysis
Countermeasures