论文部分内容阅读
目的分析2011年—2016年本市临床用血的情况,评估临床用血指导的效果,提出改进意见和建议,促进临床科学、合理、安全、有效用血。方法根据2011年—2016年供血量,结合医疗单位临床用血情况,分析临床用血的合理性,持续改进临床用血指导工作。结果虽然本市成分输血达100%,冷沉淀凝血因子和血小板的使用量分别从2011年的350.5U和83.5U增长到2016年的7292U和364.5U,但是,64%的医疗机构从未使用过血小板,其中,县级9家。这些医院只会使用红细胞悬液和血浆。结论临床用血指导取得一定的成效,但覆盖面不够广、层面不够深、力度不够大。血站应不断完善和持续改进此项工作,应重点向县级医疗机构扩展。
Objective To analyze the clinical use of blood in the city from 2011 to 2016, assess the effect of clinical blood guide, propose suggestions and recommendations for improvement, and promote clinical science with reasonable, safe and effective use of blood. Methods According to the amount of blood supply from 2011 to 2016, combined with the medical unit clinical blood situation, analyze the rationality of clinical use of blood, continuous improvement of clinical blood guide work. Results Although the amount of blood transfused in this Municipality was 100%, the use of cryoprecipitate and platelets increased from 350.5U and 83.5U in 2011 to 7292U and 364.5U in 2016, respectively, but 64% of the medical institutions never used Platelets, of which 9 at the county level. These hospitals only use red blood cell suspensions and plasma. Conclusion Clinical guidance with blood has achieved some success, but the coverage is not wide enough, the level is not deep enough and the intensity is not big enough. Blood stations should continue to improve and continue to improve this work should focus on expanding to the county-level medical institutions.