Pinto V, Hernández Mejía R, Cueto A
Servicio de Hematología y Hemoterapia, Hospital Central de Asturias.
Sangre (Barc). 1999 Feb;44(1):49-54.
To estimate the effectiveness of the Asturias transfusion network in achieving self-sufficiency in plasma, derivatives, blood and blood components in the period from 1990 to 1995.
A retrospective study of the indicators of blood donation, production, management and transfusion of fresh frozen plasma and of the clinical usage of plasma derivatives in 1990 and 1995 was carried out.
In 1990, 26.1% of the plasma and derivatives used were produced in Asturias (108% of the plasma transfused and 15.9% of that equivalent to the plasma derivatives). On the other hand, an estimated 112.4% of the plasma needed was used (FFP, 153%; plasma derivatives, 108.7%). In 1995, 32.2% of all the plasma and derivatives used were produced here (118% of the FFP transfused and 27.2% of the equivalent to the plasma derivatives used). The usage of the plasma necessary for clinical supplies was estimated in 149.0% of the needs (FFP, 138.9%; plasma derivatives, 149.6%). The volume of plasma-equivalent used in both years was higher for albumin than for factor VII.
The Consulting Commission of the Blood Centre, with the participation of the Services of Pharmacy, has to establish a programme aimed to monitor all the aspects related with the use of plasma and to evaluate the degree of accomplishment of the obligation of attaining self-sufficiency in plasma.
评估阿斯图里亚斯输血网络在1990年至1995年期间实现血浆、衍生物、血液及血液成分自给自足的成效。
对1990年和1995年新鲜冰冻血浆的献血、生产、管理及输血指标以及血浆衍生物的临床使用情况进行回顾性研究。
1990年，阿斯图里亚斯生产了所使用血浆及衍生物的26.1%（所输血浆的108%以及相当于血浆衍生物的15.9%）。另一方面，估计使用了所需血浆的112.4%（新鲜冰冻血浆为153%；血浆衍生物为108.7%）。1995年，所使用的全部血浆及衍生物中有32.2%在此生产（所输新鲜冰冻血浆的118%以及所使用血浆衍生物当量的27.2%）。临床供应所需血浆的使用率估计为需求的149.0%（新鲜冰冻血浆为138.9%；血浆衍生物为149.6%）。两年中白蛋白的血浆当量使用量高于凝血因子VII。
血液中心咨询委员会在药学服务部门的参与下，必须制定一项计划，旨在监测与血浆使用相关的所有方面，并评估实现血浆自给自足义务的完成程度。
