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目的了解电子交叉配血在东莞市医院的临床应用情况。方法课题研究组制定《电子交叉配血试运行调查表》(简称《调查表》)对东莞市试运行电子交叉配血的6家三级医院应用情况和效果做调查分析,被调查医院输血科填写对2015年7月1日-2016年4月30日期间使用电子交叉配血的模式、受血者及献血者ABO/Rh D血型鉴定、电子发血量、溶血性输血不良反应、开展电子交叉配血前后多因素的影响情况,要求《调查表》填写不缺项不漏项;对收回的《调查表》汇总分析。结果发放的6份《调查表》均有效收回,6家试运行电子交叉配血的医院中,有4家采取同步模式(血型血清学交叉配血+电子交叉配血),2家采取单作模式(只作电子交叉配血);6家医院在9个月内共完成31 941(人)次电子交叉配血,其中同步模式占94.06%(30 045/31 941),其2种交叉配血结果一致,单作模式占5.94%(1 896/31 941);2种模式的电子交叉配血完成后,红细胞(成分)制品被直接发放到临床输注,未收到临床用血科室发生溶血性输血不良反应的报告。输血前医院对献血者ABO/Rh D血型复核结果与血袋标签血型一致率为100%(36 952/36 952)。6家医院开展电子交叉配血后,输血科发血时间、工作强度、工作人员紧张情绪等均有明显改善。结论电子交叉配血确保了安全有效输血,具有缩短输血科发血时间、减轻输血科工作人员的劳动强度等明显优势,值得在临床推广。
Objective To understand the clinical application of electronic cross matching in Dongguan City Hospital. Methodology The research group developed the “Electronic Crossmatching Test Run” (referred to as the “Questionnaire”) to investigate and analyze the application and effect of six tertiary hospitals in Dongguan with trial run of electronic crossmatching. The blood transfusion department Fill in the pattern of electronic crossmatching between July 1, 2015 and April 30, 2016, blood type and blood donor ABO / Rh D blood type identification, electronic blood volume, hemolytic transfusion adverse reactions, Before and after cross-matching with blood multiple factors affect the situation, requiring “questionnaire” fill no missing items do not omit items; to collect the “questionnaire” summary analysis. Results Six of the questionnaires were effectively withdrawn. Of the six hospitals that tested cross-matching with blood, four adopted a synchronous mode (blood type cross-matching blood and electronic cross-matching blood) and two adopted single (Only for electronic cross-matching); 6 hospitals completed a total of 31 941 (person) electronic cross-matching within 9 months, of which 94.06% (30 045/31 941) Blood results were consistent, single-mode accounted for 5.94% (1896/31 941); two kinds of electronic cross-matching blood is completed, the red blood cell (component) products were issued directly to the clinical infusion, did not receive the clinical occurrence of blood department Hemolytic transfusion adverse reactions reported. Blood donation hospital blood donor ABO / Rh D blood type test results and blood bag label blood type consistency was 100% (36 952/36 952). 6 hospitals to carry out electronic cross matching blood transfusion department blood time, intensity of work, staff nervousness and so on have significantly improved. Conclusion Electronic cross-matching of blood to ensure safe and effective blood transfusion with shortened blood transfusions blood time, reduce the labor intensity of blood transfusion staff obvious advantages, it is worth in the clinical promotion.