College of Nursing and Health Sciences, University of Massachusetts, Boston, Massachusetts; The Institute of Blood Transfusion, Chinese Academy of Medical Sciences, Chengdu, China; Department of Nursing, Hallmark Health System, Boston, Massachusetts; Department of Pathology, Johns Hopkins Medical Institution, Baltimore, Maryland.
Transfusion. 2014 Feb;54(2):471-82. doi: 10.1111/trf.12273. Epub 2013 May 27.
Social and economic development, along with increased health care coverage, has caused a sharp increase in the clinical demand for blood in China. Whole blood collection has increased rapidly in the past decade but has failed to keep pace with the ever-increasing demand. Overall, the country's blood safety has been improved with 99% of whole blood donations collected from voluntary unpaid donors. However, the unmet clinical demand for blood and the increasing incidence of human immunodeficiency virus and syphilis in the general population pose new challenges to China's blood banking system. To ensure a safe and adequate blood supply, continued efforts are required to recruit and retain a sufficient number of low-risk voluntary blood donors, improve donor prescreening and blood testing process, ease donor restrictions, and strengthen patient blood management.
社会经济的发展和医疗保障覆盖面的扩大，导致中国临床用血需求急剧增加。过去十年间，全血采集量迅速增长，但仍未能满足不断增长的需求。总体而言，中国的血液安全状况得到了改善，99%的全血采集自自愿无偿献血者。然而，临床用血需求未得到满足，以及普通人群中人类免疫缺陷病毒和梅毒发病率的上升，给中国的采供血系统带来了新的挑战。为确保安全充足的血液供应，需要继续努力招募和保留足够数量的低风险自愿无偿献血者，改进献血者预筛查和血液检测流程，放宽献血者限制，并加强患者血液管理。
