北京协和医院急诊科输血现状与对策

戴佳原; 徐胜勇; 徐军; 刘业成; 刘继海; 朱华栋; 于学忠

doi:10.3969/j.issn.1674-9081.2016.05.012

北京协和医院急诊科输血现状与对策

Current Situation and Strategy of Blood Transfusion in Emergency Department of Peking Union Medical College Hospital

摘要

摘要:
目的分析北京协和医院急诊科输血现状, 并提出应对策略。
方法对北京协和医院急诊科2015年1月至10月各病区临床输血情况进行分析, 并与2014年同期数据进行比较。
结果本院急诊科用血主要集中在急诊治疗室, 其红细胞输注量占急诊科总输注量的65%, 血浆输注量占28%, 血小板输注量占78%, 输血患者多为慢性病患者; 2015年1月至10月较2014年同期人均(红细胞、血浆和单采血小板分别为6.02 U比5.10 U、8.26 U比7.37 U、2.48 U比2.08 U)、次均(红细胞、血浆和单采血小板分别为3.07 U比3.04 U、6.80 U比6.23 U、1.21 U比1.16 U)输血量均有所增加。
结论诸多因素造成急诊治疗室用血量大, 今后应严格把握输血指征, 践行合理用血。

Abstract:
Objective To analyze the current situation of blood transfusion in Emergency Department of Peking Union Medical College Hospital(PUMCH) and to propose an appropriate strategy.
Methods The data of blood transfusion in Emergency Department of PUMCH from January to October 2015 were analyzed and compared with the data of the corresponding period of 2014.
Results Blood transfusion mainly concentrated in the therapeutic room of Emergency Department, in which red blood cells, plasma, and platelet transfusion accounted for 65%, 28%, and 78% of total volume of Emergency Department, respectively. Most of the patients receiving blood transfusion were patients with chronic diseases. Compared with the same period in 2014, the average amount of blood transfusion per capita (red blood cells, 6.02 U vs. 5.10 U; plasma, 8.26 U vs. 7.37 U; platelets, 2.48 U vs. 2.08U) and mean blood transfusion volume (red blood cells, 3.07 U vs. 3.04 U; plasma, 6.80 U vs.6.23 U; platelets, 1.21 U vs. 1.16 U) were both increased in 2015.
Conclusions Many factors may cause large demand of blood transfusion in the therapeutic room in Emergency Department. We should follow the indications of blood transfusion strictly for appropriate use of blood tranfusion.

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