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Red Blood Cell Transfusion in Department of Gastroenterology of Peking Union Medical College Hospital in 2015
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摘要:
目的 总结2015年北京协和医院消化内科红细胞输注情况, 为临床合理用血提供依据。 方法 回顾性分析2014年及2015年1月至10月在北京协和医院消化内科住院并输注红细胞患者的病例资料, 统计输血量、输血例数、输血原因及输血前血红蛋白水平等指标。 结果 2015年消化内科输血76人次, 红细胞总输注量403 U, 占非手术科室红细胞用量的8.4%。2014年和2015年输血量最多的两类疾病均为消化道出血和炎症性肠病。2015年37例消化道出血患者的总输血量为204 U; 人均用血量最多的疾病为淋巴瘤, 人均输血量为21.5 U。需急诊外科手术止血的病例占9.2%。消化内科患者红细胞输注前血红蛋白中位数为65.5 g/L, 符合我国输血指南推荐阈值。 结论 消化内科用血量较多主要与消化内科收治病种及收治患者病情较重有关。加强科室间协作, 准确把握手术时机, 可能有助于降低消化内科输血量。 Abstract:Objective To analyze red blood cell transfusion in the Department of Gastroenterology of Peking Union Medical College Hospital in 2015 in order to provide references for rational use of blood in clinical practice. Methods Medical records of patients hospitalized in Department of Gastroenterology of Peking Union Medical College Hospital who received red blood cell transfusion from January to October in 2014 and 2015 were reviewed. The clinical information including blood transfusion volume, transfusion case number, the cause of transfusion, and the hemoglobin level before transfusion were summarized. Results The red blood transfusion volume was 403 U in the Department of Gastroenterology in 2015, transfused in 76 person-times, accounted for 8.4% of the total red blood cell transfusion volume in all non-surgical departments. Gastrointestinal bleeding and inflammatory bowel disease were the two kinds of diseases which consumed the largest volume of blood both in 2014 and 2015. In 2015, the total transfusion volume of 37 gastraintestinal bleeding patients who needed blood transfusion was 204 U. The average transfusion volume was the highest in lymphoma (21.5 U per person). 9.2% of the patients needed emergency surgical hemostasis. The median hemoglobin level before red blood celltransfusion of in-patients in the Department of Gastroenterology was 65.5 g/L, meeting the recommended threshold of Chinese guidelines on blood transfusion. Conclusions The large volume of blood transfusion in the Department of Gastroenterology may be due to the type and severity of conditions treated in this department. Strengthening cooperation among departments and optimizing the schedule of surgery may help in reducing the volume of blood transfusion in Department of Gastroenterolgy. -
Key words:
- rational blood use /
- red blood cell transfusion /
- non-surgical departments
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表 1 2015年北京协和医院消化内科输血患者中消化道出血的病因及输血情况
病因 例数 输血量
(U)人均输血量
(U)淋巴瘤 2 43 21.5 内镜操作并发症 7 26 3.7 自身免疫性疾病(白塞病、SLE) 3 25 8.3 食管胃底静脉曲张出血 8 24 3 不明原因消化道出血 4 22 5.5 术后吻合口出血 2 18 9 缺血性肠病 1 12 12 毛细血管扩张 3 10 3.3 应激性溃疡(急性胰腺炎) 1 6 6 小肠血管畸形 2 4 2 结核性腹膜炎 1 4 4 厚皮性骨膜病 1 4 4 胰腺神经内分泌癌 1 4 4 小肠间质瘤 1 2 2 总计 37 204 5.5 SLE:系统性红斑狼疮 
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