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目的掌握临床主要用血科室和主要用血病种的用血情况,了解其临床医生输血适应征掌握程度,避免血源浪费,提高临床合理用血水平。方法查阅本院2007年1月～2011年12月发血登记表及输血申请单,统计出各科室用血情况及各种疾病的输血量。结果 1)血液用量10大科室为心外科(38 704.25 U)、血液科(38657.2 U)、肝胆外科(28 153.35 U)、骨外科(15 275 U)、感染科(10 778.5 U)、ICU(8 853.5 U)、消化内科(8 734U)、胃肠外科(8 252 U)、急诊科(7 612.25 U)和妇科(7 181.5 U),占全院用血总量的78.8%,成分输血率>99.9%;10大疾病为白血病(29 700.5 U)、风心病(24 969.3 U)、先心病(15 523.4 U)、肝硬化(14 979.5 U)、骨折(8 997.5 U)、消化道出血(7 860 U)、再障(7 780 U)、胰腺炎(6 470 U)、肝癌(4 923.1 U)和重型肝炎(3 956 U),占全院各病种用血总量的57.2%,成分输血率>99.9%;全院人均用血量6.15 U,10大科室和10大病种用红细胞/血浆比例为0.21～3.72和0.21～2.65。2)用血量排序前10位科室2007～2011年除血液科、感染科和妇科外其余科室用血总量和患者数量比例均呈下降趋势。结论本院用血量最大的临床科室和病种是心外科和白血病;临床医生对输血适应征基本掌握,但是仍然存在不合理输血现象,亟待继续在各临床科室普及科学合理用血知识和提高安全用血意识。
Objective To master the main clinical use of blood department and the main use of blood diseases with blood, to understand their clinicians transfusion candidates to grasp the degree of mastery, to avoid blood waste, improve clinical reasonable blood levels. Methods Check our hospital from January 2007 to December 2011 blood registration form and blood transfusion request form, statistics of blood usage in various departments and various diseases of blood transfusion. Results 1) The major departments of blood usage were cardiac surgery (38 704.25 U), hematology (38657.2 U), hepatobiliary surgery (28 153.35 U), bone surgery (15 275 U), infection (10 778.5 U), ICU ( 8 853.5 U), gastroenterology (8 734U), gastroenterology (8 252 U), emergency department (7 612.25 U) and gynecology (7 181.5 U), accounting for 78.8% of the total blood usage in the hospital. The blood transfusion rate > 99.9%. The 10 major diseases were leukemia (29 700.5 U), rheumatic heart disease (24 969.3 U), congenital heart disease (15 523.4 U), liver cirrhosis (14 979.5 U), fracture (8 997.5 U), gastrointestinal bleeding 7,860 U), aplastic anemia (7,780 U), pancreatitis (6,470 U), liver cancer (4,923.1 U) and severe hepatitis (3,956 U), accounting for 57.2% of the total amount of blood used in the hospital. Blood transfusion rate was> 99.9%; the average hospital blood 6.15 U, 10 major departments and 10 diseases with red blood cells / plasma ratio was 0.21 ~ 3.72 and 0.21 ~ 2.65.2) 2011 Department of Hematology, Infectious Diseases and gynecology and other departments outside the total amount of blood and the proportion of patients showed a downward trend. Conclusion The clinical departments and diseases with the largest amount of blood in our hospital are cardiothoracic surgery and leukemia. Clinicians have a basic grasp of the indications for transfusion. However, there are still unreasonable transfusions. Therefore, it is urgent to popularize the knowledge of scientific and rational use of blood in all clinical departments Safe use of blood consciousness.