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目的分析遵义市医疗机构退血原因,寻求对策以降低临床血液报废率。方法收集遵义市医疗机构2011-2014年临床退血而报废的血液制品数量、种类及其报废原因的数据做统计分析。结果 2011-2014年遵义市医疗机构共计退血报废血液制品719 U,占全市此期间临床供血量0.11%(719 U/631 151 U),退血报废的血液制品种类主要为血浆[79.35%(570.5 U/719 U)]和冷沉淀[18.98(136.5U/719 U)];退血报废原因主要是絮状物[50.97%(366.5U/719U)]、血袋破损[33.24%(239 U/719 U)]和脂肪血浆[12.80%(92 U/719 U)]。结论加强质量管理,控制血液絮状物、脂浆的产生以及血袋破损的发生,将有效减少医疗机构的退血报废。
Objective To analyze the reasons for the withdrawal from medical institutions in Zunyi City and to find ways to reduce the clinical blood rejection rate. Methods Statistical data were collected from the data on the number and types of blood products scrapped by medical institutions in Zunyi City during 2011-2014 and their causes of scrapped. Results In 2011-2014, medical institutions in Zunyi total 719 U, accounting for 0.11% (719 U / 631 151 U) of total clinical blood supply during the period. The main types of blood products that were expelled from blood were plasma [79.35% (570.5 U / 719 U)] and cryoprecipitate [18.98 (136.5 U / 719 U)]. The main causes of the rejection were floccule [50.97% (366.5U / 719U)], blood bag damage [33.24% U / 719 U)] and fat plasma [12.80% (92 U / 719 U)]. Conclusion Strengthening quality control, controlling the production of blood floc and lipid slurry, and the occurrence of blood bag damage will effectively reduce the retirement of medical institutions.