目的探讨规范的输血病历书写及其相应的管理措施;方法分析输血病案中存在的缺陷及原因;结果输血病案质量在完整性和规范性等方面存在缺陷,这同医务人员对病案质量重视不够及医院病案质量管理监管力度不到位有关;结论加强对医师的法律培训和病历书写培训,加大病案质量控制,制定相应的病历书写规范可以提高输血病案的质量。 Objective To explore the standard writing of blood transfusion records and its corresponding management measures. Methods to analyze the defects and causes of transfusion cases were analyzed. Results The quality of transfusion cases was deficient in integrity and normativity. Hospital medical records quality management supervision is not in place; Conclusion To strengthen the legal training of physicians and medical record writing training, increase the quality of medical records, the development of appropriate medical record writing can improve the quality of medical records.