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目的:探讨无偿献血的血液报废原因。方法:对2006-2008年舟山海岛地区无偿献血的血液报废原因进行回顾性分析。结果:舟山海岛地区2006年-2008年无偿献血37734人份,报废2704人份,血液总报废率为7.16%,检测不合格是血液报废的主要原因,占报废总量的91.90%,报废率从高到低依次为ALT>梅毒抗体>HBsAg>抗-HCV>抗-HIV。血袋破损及乳糜血报废也存在一定比例,报废率分别占0.26%、0.22%。结论:血站应采取从低危人群中招募无偿献血者,加强对献血者的征询及宣教,献血前增加ALT的快速筛查对减少血液报废,节省血液资源有积极的现实意义。
Objective: To investigate the causes of blood waste without blood donation. Methods: Retrospective analysis was performed on the cause of blood waste in blood donation in Zhoushan Island from 2006 to 2008. Results: In Zhoushan island area, 37734 donors were donated at a voluntary rate of 2704, with a total blood reject rate of 7.16%. The unqualified blood test was the main cause of blood scrap, accounting for 91.90% of the total scrapped. High to low order of ALT> syphilis antibody> HBsAg> anti-HCV> anti-HIV. Blood bag damage and chylous blood scrapped also exist a certain percentage of scrapped rates accounted for 0.26%, 0.22%. Conclusion: Blood stations should take voluntary blood donors from low-risk groups to strengthen the consultation and education of blood donors. The rapid screening of increasing ALT before blood donation has a positive and practical significance for reducing blood waste and saving blood resources.