Schots J, Steenssens L
Academisch Ziekenhuis Vrije Universiteit Brussels, Belgium.
Int J Qual Health Care. 1994 Mar;6(1):41-5. doi: 10.1093/intqhc/6.1.41.
The appropriate use of whole blood, packed red cells (PRC), fresh-frozen plasma (FFP) and platelets was evaluated. The indications, effectiveness and complications of transfusion were determined on the basis of existing criteria described in the literature and prevailing practices in the hospital. A retrospective review of medical records demonstrated that the administration of PRC was unnecessary in 15% of the cases and that the use of FFP was not indicated in 67% of the patients. The result of PRC transfusion was inadequate in 4% of the cases. Haemolysis and circulatory overload occurred in 2% and 4% of the patients, respectively. Major hazards such as Acquired Immunodeficiency Syndrome (AIDS) and hepatitis were not observed. In order to improve the appropriate use of blood components, transfusion guidelines were proposed to all medical departments.
对全血、浓缩红细胞（PRC）、新鲜冰冻血浆（FFP）和血小板的合理使用进行了评估。根据文献中描述的现有标准和医院的普遍做法，确定了输血的适应症、有效性和并发症。对病历的回顾性研究表明，15%的病例中输注浓缩红细胞是不必要的，67%的患者无需使用新鲜冰冻血浆。4%的病例中浓缩红细胞输血效果不佳。溶血和循环超负荷分别发生在2%和4%的患者中。未观察到获得性免疫缺陷综合征（AIDS）和肝炎等重大风险。为了改善血液成分的合理使用，已向所有医疗科室提出了输血指南。
