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目的 分析2012-2016年玉林市无偿献血血液报废原因,确保血液安全的同时避免血液浪费,探讨降低血液报废的措施.方法 统计分析2012-2016年玉林市无偿献血血液报废具体情况.结果 2012-2016年血站共采集制备血液455 239U,报废51 344.5U,血液报废率为11.29％,各年份间报废率差异有统计学意义(χ2=932.80,P＜0.01),感染性因素所致不合格血液报废25 902U(5.69％),其中报废率由高到低依次为ALT＞HBV＞TP＞HCV＞HIV;非感染性因素所致不合格报废25 442.5U(5.59％),其中乳糜血报废占4.28％.结论 2012-2016年玉林市无偿献血血液报废率较高,感染性因素与非感染性因素占比相当.加强无偿献血知识的宣传和科教普及工作,做好献血前咨询和初筛工作,加强采血员工的业务培训以及规范操作规程,定期统计分析血液报废原因,对降低血液报废率及血液管理有重要意义.“,”Objective To analyze the causes for discarding blood in Yulin from 2012 to 2016, to ensure blood safety while avoiding blood waste, to explore measures to reduce blood discarding. Methods The situation of discarding blood for voluntary blood donation in the Yulin area were analyzed during 2012 and 2016. Results Four hundred and fifty-five thousand two hundred and thirty-nine U voluntary blood donation were collected blood during 2012 and 2016, discarded were 51344. 5 U, accounted for 11. 29 percent, there was statistically significant differences among the years ( χ2= 932. 80, P ＜ 0. 01), infectious factors caused by unqualified blood scrapped 25902 U ( 5. 69％), which the scrap rate in order was ALT＞ HBV＞ TP＞ HCV＞ HIV; non-infectious factors due to unqualified scrap were 25442. 5 U ( 5. 59％), which accounted for 4. 28％ chylomicron scrapped. Conclusion Blood discarding rate is high in Yulin during 2012 and 2016, two factors accounted for a considerable proportion. It should strengthen voluntary blood donation promotion and popularization of science and education, and do counseling and screening before blood donation work, strengthen professional training and standardized procedures for blood collection staff, regular statistical analysis of blood discarding reasons, it is important significance to reduce blood discarding rate and blood management.