三级医院血液及成分的使用情况。
Utilization of blood and components in a tertiary care hospital.
作者信息
Gaur Dushyant Singh, Negi Gita, Chauhan Neena, Kusum Anuradha, Khan Sabina, Pathak Ved Prakash
机构信息
Department of Pathology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, Uttarakhand India.
出版信息
Indian J Hematol Blood Transfus. 2009 Sep;25(3):91-5. doi: 10.1007/s12288-009-0027-1. Epub 2009 Nov 12.
PURPOSE
Blood transfusion is an important part of patient management. Indications for blood use must be clear in the mind of ordering clinicians, to avoid its misuse and also to avoid unnecessary exposure of the patient to donor blood antigens, adverse reactions and transfusion transmissible diseases.
METHODS
In a retrospective pilot study, details of whole blood and components transfused were noted and correlated with the patient's diagnosis and indications for transfusion, during 1 month.
RESULTS
The blood units supplied were 720. Whole blood was the most utilized product; followed by packed red blood cells. Supply of blood was maximum to the surgical wards. The patients of trauma followed by malignancy and surgery required whole blood mostly. Anemia was the most common indication for blood products.
CONCLUSIONS
Periodic review of blood component usage is very important to assess the blood utilization pattern in any hospital.
目的
输血是患者管理的重要组成部分。开医嘱的临床医生必须清楚输血的指征，以避免滥用输血，同时避免患者不必要地接触献血者血液抗原、不良反应和输血传播疾病。
方法
在一项回顾性试点研究中，记录了1个月内输注全血和血液成分的详细情况，并将其与患者的诊断和输血指征相关联。
结果
供应的血液单位为720个。全血是使用最多的产品；其次是浓缩红细胞。外科病房的供血量最大。创伤患者其次是恶性肿瘤和手术患者最需要全血。贫血是使用血液制品最常见的指征。
结论
定期审查血液成分的使用情况对于评估任何医院的血液利用模式非常重要。
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