Theakston E, Woodfield D G
Auckland Hospital.
N Z Med J. 1992 Nov 25;105(946):470-2.
To review autologous blood collection and transfusion practice in Auckland over the last five years.
Records of autologous blood collections were obtained from blood collection centre records and results of transfusions on patients from hospital notes.
One hundred and sixty-four units of blood were collected from 77 patients. Seventy-five percent of the units collected were transfused. Most autologous blood was transfused to private hospital patients. Only 8% of patients required homologous blood.
There has been a slow increase of autologous blood collection and transfusion in the Auckland area, as well as in the rest of New Zealand. The present risks of homologous transfusion, particularly since the introduction of hepatitis C testing, appear very low. A further expansion of the present autologous blood programme would entail increased expenditure and it is suggested that a critical cost benefit analysis would be useful before the programme is expanded.
回顾过去五年奥克兰地区自体血采集与输血的情况。
从采血中心记录中获取自体血采集记录,并从医院病历中获取患者输血结果。
共从77名患者身上采集了164单位血液。所采集血液的75% 被用于输血。大部分自体血输给了私立医院的患者。只有8% 的患者需要输异体血。
奥克兰地区以及新西兰其他地区的自体血采集与输血情况一直在缓慢增长。目前异体输血的风险,尤其是自引入丙型肝炎检测以来,似乎非常低。进一步扩大目前的自体血项目将导致支出增加,建议在扩大该项目之前进行关键的成本效益分析。