Volume 7 Issue 5
Sep.  2016
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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

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

doi: 10.3969/j.issn.1674-9081.2016.05.008
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  • Corresponding author: YANG Ai-ming Tel: 010-69151593, E-mail :yangaiming@medmail.com.cn
  • Received Date: 2016-07-14
  • Publish Date: 2016-09-30
  •   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.
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  • [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
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