Email Alert RSS
Volume 7 Issue 5
Sep.  2016
Turn off MathJax
Article Contents
Abstract
References
Related Articles
Jie-yao CHENG, Jing-nan LI, Jia GAN, Jia-ming QIAN, Xing-hua LU, Ai-ming YANG. Red Blood Cell Transfusion in Department of Gastroenterology of Peking Union Medical College Hospital in 2015[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 362-366. DOI: 10.3969/j.issn.1674-9081.2016.05.008
Citation: Jie-yao CHENG, Jing-nan LI, Jia GAN, Jia-ming QIAN, Xing-hua LU, Ai-ming YANG. Red Blood Cell Transfusion in Department of Gastroenterology of Peking Union Medical College Hospital in 2015[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 362-366. DOI: 10.3969/j.issn.1674-9081.2016.05.008
shu

Red Blood Cell Transfusion in Department of Gastroenterology of Peking Union Medical College Hospital in 2015

  • 1.

    Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 2.

    Central Blood Bank, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

More Information
  • Corresponding author:

    YANG Ai-ming Tel: 010-69151593, E-mail :yangaiming@medmail.com.cn

  • Received Date: July 13, 2016
  • Issue Publish Date: September 29, 2016
    Graphical Abstract
    • 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.
    • FullText(HTML)
    • References (16)
  • [1]
    卫生部.医疗机构临床用血管理办法[J].中国医药科学, 2012, (12):6-8. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgyykx201212004
    [2]
    Murphy GJ, Pike K, Rogers CA, et al. Liberal or restrictive transfusion after cardiac surgery[J]. N Engl J Med, 2015, 372:997-1008. https://www.ncbi.nlm.nih.gov/pubmed/26154798/
    [3]
    王涛, 高劲松, 沈铿, 等.妇科围术期输血现状及特点[J].协和医学杂志, 2015, 6:357-360. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201505010
    [4]
    卫生部.临床输血技术规范[S].北京: 卫生部办公厅, 2000.
    [5]
    Steming LC, Doherty DC, Faust RJ, et al. Practice Guidelines for blood component therapy:A report by the American Society of Anesthesiologists Task Force on Blood Component Therapy[J]. Anesthesiology, 1996, 84:732-747.
    [6]
    Murphy MF, Wallington TB, Kelsey P, et al. Guidelines for the clinical use of red cell transfusions[J]. Br J Haematol, 2001, 113:24-31. http://europepmc.org/abstract/med/11328275
    [7]
    Clinical Practice Guidelines: Appropriate Use of Red Blood Cells. 2001[S/OL]. http://www.anzsbt.org.au/publications/documents/UseRedBlood_001.pdf.
    [8]
    Hamm CW, Bassand JP, Agewall S, et al. ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation:The Task Force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC)[J]. Eur Heart J, 2011, 32:2999-3054. http://europepmc.org/abstract/MED/26727671
    [9]
    Ferraris VA, Brown JR, Despotis GJ, et al. 2011 update to the Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists blood conservation clinical practice guidelines[J]. Ann Thorac Surg, 2011, 91:944-982. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=174ee145c345b46b931c2b6fc944aa6d
    [10]
    Carson JL, Grossman BJ, Kleinman S, et al. Red blood cell transfusion:a clinical practice guideline from the AABB[J]. Ann Intern Med, 2012, 157:49-58. http://www.biomedcentral.com/pubmed/22751760
    [11]
    Qaseem A, Humphrey LL, Fitterman N, et al. Treatment of anemia in patients with heart disease:a clinical practice guideline from the American College of Physicians[J]. Ann Intern Med, 2013, 159:770. https://ohsu.pure.elsevier.com/en/publications/treatment-of-anemia-in-patients-with-heart-disease-a-clinical-pra
    [12]
    Jairath V, Kahan BC, Gray A, et al. Restrictive versus liberal blood transfusion for acute upper gastrointestinal bleeding (TRIGGER):a pragmatic, open-label, cluster randomised feasibility trial[J]. Lancet, 2015, 386:137-144. http://www.sciencedirect.com/science/article/pii/S0140673614619991
    [13]
    侯晓佳, 李兆申, 施新岗, 等.内镜黏膜下剥离术的疗效及出血危险因素分析[J].中华消化内镜杂志, 2012, 29:549-553. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhxhnjzz98201210003
    [14]
    Dobrowolski S, Dobosz M, Babicki A, et al. Prophylactic submucosal saline-adrenaline injection in colonoscopic polypectomy:prospective randomized study[J]. Surg Endosc, 2004, 18:990-993. DOI: 10.1007/s00464-003-9214-6
    [15]
    Liaquat H, Rohn E, Rex DK. Prophylactic clip closure reduced the risk of delayed postpolypectomy hemorrhage:experience in 277 clipped large sessile or flat colorectal lesions and 247 control lesions[J]. Gastrointest Endosc, 2013, 77:401-407. http://www.sciencedirect.com/science/article/pii/S001651071202860X
    [16]
    Kouklakis G, Mpoumponaris A, Gatopoulou A, et al. Endoscopic resection of large pedunculated colonic polyps and risk of postpolypectomy bleeding with adrenaline injection versus endoloop and hemoclip:a prospective, randomized study[J]. Surg Endosc, 2009, 23:2732-2737. DOI: 10.1007/s00464-009-0478-3
    • Related Articles

  • Related Articles

    [1]YAN Xinchun, HUO Li. Evaluation of Von Hippel-Lindau Syndrome Through Novel Small Molecular Tracer 68Ga-NY104 PET/CT Imaging[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(4): 911-915. DOI: 10.12290/xhyxzz.2024-0216
    [2]XIAO Nan, LI Zhanfeng, YAO Jianxin, PAN Zhiyao, YAO Zhifeng. Long Non-coding RNA and Cancer Stem Cells[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 373-379. DOI: 10.12290/xhyxzz.20190231
    [3]TANG Bo, XU Xiaohan, ZHANG Yuelun, HUANG Yuguang. A Longitudinal Study of Perioperative Allogeneic Red Blood Cell Transfusion among Patients Undergoing Thoracotomy for Lobectomy in China[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(3): 333-338. DOI: 10.12290/xhyxzz.2021-0140
    [4]Chen-xi YU, Shui SUN. Roles of Long Noncoding RNAs in the Development and Progression of Osteoarthritis[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 85-90. DOI: 10.3969/j.issn.1674-9081.20170138
    [5]Jia-qi ZHANG, Lei LIU, Gui-ge WANG, Wen-liang BAI, Shan-qing LI. Clinical Pathological Features and Prognosis of Non-small Cell Lung Cancer with Skip N2 Lymph Node Metastasis[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(3): 272-277. DOI: 10.3969/j.issn.1674-9081.2019.03.015
    [6]Yi ZHAO, Jin LIN, Han-zhong LI, Yuan-xiang FANG, Shuang WANG. Blood Use in Surgical Patients with Red Blood Cell Transfusion of Over 20 Units during Single Hospital Stay[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 367-370. DOI: 10.3969/j.issn.1674-9081.2016.05.009
    [7]Chan MENG, Jia GAN, Xue-jun ZENG, Wei-gang FANG, Wei-guo ZHU, Jia-lin CHEN, Lian-jun BAI. Clinical Characteristics of Patients with Hemoglobin Level before Red Blood Cell Transfusion Higher than Recommended Threshold in Non-surgical Departments of Peking Union Medical College Hospital[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(5): 357-361. DOI: 10.3969/j.issn.1674-9081.2016.05.007
    [8]Chan MENG, Xue-jun ZENG, Jia GAN, Wei-gang FANG, Jia-lin CHEN, Lian-jun BAI. Red Blood Cell Transfusion Condition of In-patients of Peking Union Medical College Hospital in 2010 and 2013[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(4): 281-285. DOI: 10.3969/j.issn.1674-9081.2015.04.010
    [10]Xiao-hua SHI, Zhi-yong LIANG, Huan-wen WU, Xin-yu REN, Tong-hua LIU. Effect of RNA Interference Plasmid on the Expression of Oncogene AKT2 in Pancreatic Cancer Cell Line Panc-1[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(1): 102-108. DOI: 10.3969/j.issn.1674-9081.2012.01.021

  • Cited by

    Periodical cited type(9)

    1. 郭晓睿，李蕾，张蓉，郭丹，谢彧之，付强，周寒梅. 青少年特发性脊柱侧凸病人围术期麻醉管理的最佳证据总结. 循证护理. 2024(02): 210-217 .
    2. 陶尊晓，朱春爽，尹翠翠，范燕燕. 青少年特发性脊柱侧凸患者围手术期加速康复管理的最佳证据总结. 中华现代护理杂志. 2024(02): 183-190 .
    3. 李方方，宋葆云，苏豫囡. ERAS理念的围术期护理在脊柱畸形矫形术患者中的应用. 齐鲁护理杂志. 2024(10): 120-123 .
    4. 李柯蓉，孟繁媛，赵智，陈茉弦，敖丽娟. 特发性脊柱侧凸手术患者功能障碍及康复治疗研究进展. 四川医学. 2024(09): 1027-1032 .
    5. 杨莹，田雪，陈亚萍，赵钇伟，李子全. Ⅰ型神经纤维瘤病性胸腰椎脊柱侧后凸的围术期临床疗效及护理研究. 罕见病研究. 2023(04): 539-546 .
    6. 王向阳，刘永辉，石洋，崔宏勋. 加速康复外科理念在脊柱手术围手术期应用进展. 中国疗养医学. 2022(01): 51-53 .
    7. 佟冰渡，李高洋，田雪，李杨，徐涛，陈亚萍. 青少年特发性脊柱侧凸患者术后首次离床活动直立不耐受的现状及影响因素分析. 中国护理管理. 2022(01): 17-21 .
    8. 佟冰渡，苏晓静，陈佳丽，黄洁，郑金凤，朱婷，宁宁，鲁雪梅，高远，郭娜，陈亚萍. 青少年特发性脊柱侧凸患者围手术期护理专家共识. 中华骨与关节外科杂志. 2022(11): 822-830 .
    9. 王薇，李颂，赵慧，王琪. 加速康复外科理念在青少年特发性脊柱侧凸围术期的应用. 骨科. 2021(05): 462-466 .

    Other cited types(1)

Catalog

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (245) PDF downloads (7) Cited by(10)
    Related
    Links: National Health Commission of the People's Republic of China Chinese Academy of Medical Sciences(CAMS) AMLC Check CNKI Database CNKI Term Online Chinese General Practice
    Address：Room 302,Third Floor,Building 7, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China
    Tel：010-69154261/4262
    E - mail：medj@pumch.cn mjpumch@126.com
    Copyright of website：Editorial Office of Medical Journal of Peking Union Medical College Hospital

    Supported by: Beijing Renhe Information Technology Co., Ltd.  Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close