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目的:调查分析血液报废原因,寻求减少血液浪费的措施,以求节约宝贵的血液资源。方法:对2007—2009年武汉地区无偿献全血血液报废进行百分率、χ2检验分析,判断影响血液报废的因素。结果:通过统计分析,红细胞类经实验室检测5项指标不合格报废率平均为3.41%,其中丙氨酸氨基转移酶(ALT)不合格报废占到2.22%,是导致血液报废首要原因,其次是乙型肝炎病毒表面抗原(HBsAg)阳性导致血液报废。另外,非传染性原因的报废以脂肪血浆、絮状物和采血不足量为主。结论:献血宣传、献血前的咨询和初筛检测是保证血液质量、减少血液报废的重要措施,应该继续保持和加强;同时,应继续培育固定献血者队伍,提升血液安全水平,减少血液报废,让宝贵的血液资源得以充分利用。
OBJECTIVE: To investigate and analyze the causes of blood waste and seek measures to reduce blood waste in order to save valuable blood resources. Methods: The percentages of blood donated by whole blood in Wuhan in 2007-2009 were determined by χ2 test to determine the factors affecting the blood waste. Results: According to the statistical analysis, the rejection rate of the five types of erythrocytes tested by laboratory was 3.41% on average, among which the failure rate of alanine aminotransferase (ALT) accounted for 2.22%, which was the primary reason of blood scrapped, followed by Hepatitis B virus surface antigen (HBsAg) positive result in blood scrap. In addition, non-infectious causes of scrapped fat plasma, flocculent and lack of blood-based. Conclusion: Blood donation, pre-donation counseling and pre-screening testing are important measures to ensure blood quality and reduce blood waste. They should be maintained and strengthened. At the same time, blood donors should be continually nurtured, blood safety should be improved, blood waste should be reduced, Let the precious blood resources be fully utilized.