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目的通过开展输血病历考核评价工作,提高科学合理用血水平。方法荆门市用血量最大的9家医疗机构2013年住院输血病历,按30%比例随机抽取1 511份,通过其输血适应证、输血剂量、输血时间、疗效评价等内容,判断是否科学合理用血。结果各种血液成分的合理性输注比例分别是:红细胞为78.3%,血浆为53.0%,冷沉淀为91.7%,血小板为94.9%。不同血液成分不合理输注原因主要是适应证和疗效评价,其次是输血时间,输血剂量不合理主要是冷沉淀。结论通过输血病历的考核评价,发现不合理输血存在的症结所在,加强临床用血的日常监管、加大医务人员的培训力度,能有效提高临床科学合理用血水平。
Objective To carry out examination and evaluation of blood transfusion records to improve the scientific and rational use of blood. Methods Jingmen City, the largest blood with nine medical institutions in 2013 hospital transfusion records, according to 30% of the proportion of randomly selected 1 511, through its indication of transfusion, blood transfusion time, efficacy evaluation, to determine whether scientific and rational use blood. Results The rational infusion rates of various blood components were: erythrocyte 78.3%, plasma 53.0%, cryoprecipitate 91.7% and platelet 94.9%. Irrational infusion of different blood components are mainly indications and efficacy evaluation, followed by transfusion time, blood transfusion dose is mainly unreasonable precipitation. Conclusion Through the examination and evaluation of transfusion records, it is found that the crux of unreasonable transfusion exists, the daily supervision of clinical use of blood is strengthened, and the training of medical staff is strengthened, which can effectively improve the blood levels of clinical science.