摘要
目的:回顾性分析我院临床血浆应用情况,为临床合理输注血浆提供依据。方法:对十堰市太和医院湖北医药学院附属医院2006—2009年临床输注血浆情况进行统计,根据临床表现、输血记录和实验室检查,参照国家相关技术规范进行分析。结果:4年来,血浆用量逐年增加,2009年与2006年相比,血浆用量上涨了136.07%,而同期红细胞用量上涨了69.31%;在红细胞和血浆2种成分的使用构成比中,血浆所占比例从2006年的54.69%上升到2009年的62.72%;血浆用量前5名科室的平均血浆使用量占血浆总量的68.56%;血浆的不合理使用达59.58%,以纠正低蛋白血症、扩容、搭配用血等为主要表现。结论:临床输血中血浆的输注存在许多不合理的地方,需进一步提高医生的认识,严格掌握输血适应证,合理使用血浆,提高临床输血质量。
Objective:To provide a basis for clinical reasonable use of plasma infusion by retrospective analysis of the clinical applications of plasma in our hospital.Method:Clinical manifestations,blood transfusion records and laboratory test reference were statisticly analyzed based on relevant national technical specifications from 2006 to 2009. Result:The volume of plasma increased year by year during this four years period. In 2009 compared to 2006,plasma volume increased to 136.07%,while red blood cell volume increased to 69.31% over the same period.The plasma proportion was 54.69% in 2006 and up to 62.72% in 2009 of these two components. The average volume of plasma accounted for 68.56% in the first five wards. The unreasonable use of plasma increased to 59.58%,which were mainly used to correct hypoproteinemia,expansion and match of blood. Conclusion:There were many unreasonable uses of plasma infusion in clinical transfusion. To improve the quality of clinical transfusion,further awareness of blood transfusion should be enhanced by doctors.
出处
《临床血液学杂志(输血与检验)》
CAS
2010年第4期461-463,共3页
Journal of Clinical Hematology(Blood Transfusion & Laboratory Medicine)
关键词
临床输血
血浆输注
合理使用血浆
clinical blood transfusion
plasma infusion
reasonable use of plasma