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目的分析郑州市无偿献血者血液检测不合格的原因,探讨其预防措施。方法对2013年1月—2016年12月河南省红十字血液中心采集的821 025份无偿献血血液进行检测,统计不合格率,并进行分析。结果 821 025份血液共3 138 807u,不合格率为5.84%;浓缩血小板、红细胞类、血浆类检验项目不合格率较高,分别为3.80%、2.68%、2.64%;浓缩血小板、血浆类非检验项目不合格率较高,分别为64.51%、7.18%;冷沉淀凝血因子医院退血率较高,为0.21%;检验项目不合格血液中,谷丙转氨酶、乙型肝炎表面抗原不合格率较高,分别为58.46%、15.04%;非检验项目不合格血液中,脂血、破袋或漏液所占比例较高,分别为91.00%、3.19%;医院退血血液中,破袋或漏液、凝块或絮状物所占比例较高,分别为70.45%、19.69%。结论郑州市无偿献血血液不合格较高,与多种因素有关,加强献血前初筛,规范血液采集、分离及运输是降低血液检测不合格率的重要措施。
Objective To analyze the causes of unqualified blood tests in unpaid blood donors in Zhengzhou and to explore the preventive measures. Methods 821 025 blood donations collected from the Red Cross Blood Center of Henan Province from January 2013 to December 2016 were tested, the unqualified rate was calculated and analyzed. Results A total of 821 025 blood samples were 3 138 807 u in total, with a failure rate of 5.84%. The unqualified rate of concentrated platelet, erythrocyte and plasma test items was 3.80%, 2.68% and 2.64% respectively. Concentrated platelets, The unqualified rate of the test items was high, which was 64.51% and 7.18% respectively. The rate of cold withdrawal coagulation factors was higher in the hospital with a rate of 0.21%. In the unqualified blood of the test items, the ratio of alanine aminotransferase and hepatitis B surface antigen failed Were higher, respectively 58.46%, 15.04%; non-test items unqualified blood, lipids, broken bags or leakage accounted for a higher proportion, respectively, 91.00%, 3.19% Leakage, clotting or flocculation accounted for a high proportion, respectively 70.45%, 19.69%. Conclusion The unqualified blood donation in Zhengzhou City is high, which is related to many factors. It is an important measure to reduce the failure rate of blood test by strengthening the screening before blood donation, standardizing blood collection, separation and transportation.