诱发凝块血形成因素的调查分析
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摘要
目的了解凝块血形成的诱发因素,为减少因凝块血造成血液报废提供依据。方法收集本中心2013—2017年报废血液数据中凝块血液的资料,据此针对本中心2017年可能导致凝块血形成的因素展开调查分析。结果 2013—2017年本中心凝块血液报废率由0.21‰上升至1.09‰,占全部报废血液的比例由0.23%(20/8 722)上升至1.53%(109/7 117);2017年凝块血形成的主要原因与采血者技术水平、血液流速、采血场所和所用采血袋的批次等因素有关。结论采取提高采血技术水平、缩短血液采集时间、加强无偿献血知识宣传以及优化采血器材、环境等措施,有助于消除凝块血造成的血液报废。
Objective To understand the inducing factors of blood clots, and provide scientific reference data aiming at reducing blood discards. Methods Data of blood discarded owing to blood clot during 2013 to 2017 of our center was collected, and the factors contributing to blood clot formation in 2017 were analyzed. Results The discard rate owing to blood blot, which was 0.21‰ in 2013, increased up to 1.09‰ in 2017, along increased the proportion of blood blot in the causes of blood discard over the years, from 0.23%(20/8 722) to 1.53%(109/711). The main factors contributing to clot formation in 2017 were the puncture technique of staff, blood flow rate, environmental factors in blood collection sites, and each Lot. of blood bags.Conclusion According to the causes of blood clot, we should improve the puncture technique of staff, shorten blood collection time, strengthen the publicity of blood donation, and optimize the management of equipment and environment in donation site to lower the waste of blood resources.
Objective To understand the inducing factors of blood clots, and provide scientific reference data aiming at reducing blood discards. Methods Data of blood discarded owing to blood clot during 2013 to 2017 of our center was collected, and the factors contributing to blood clot formation in 2017 were analyzed. Results The discard rate owing to blood blot, which was 0.21‰ in 2013, increased up to 1.09‰ in 2017, along increased the proportion of blood blot in the causes of blood discard over the years, from 0.23%(20/8 722) to 1.53%(109/711). The main factors contributing to clot formation in 2017 were the puncture technique of staff, blood flow rate, environmental factors in blood collection sites, and each Lot. of blood bags.Conclusion According to the causes of blood clot, we should improve the puncture technique of staff, shorten blood collection time, strengthen the publicity of blood donation, and optimize the management of equipment and environment in donation site to lower the waste of blood resources.
引文
[1] GB 18469—2012 全血及成分血质量要求.2012-07-01.
[2] 叶惠芬,周晓.血站静脉穿刺采血进针角度的研究.牡丹江医学院学报,2013,34(5):76-77.
[3] 张美萍,牛长林,陈书芳.血液采集过程中出现凝块原因回顾分析.中国输血杂志,2012,25(11):1208-1209.
[4] 谭春译,杨雪,李聚林.非感染性输血不良反应的原因与预防控制措施新进展.广西医学,2018,40(18):2209-2217.
[5] 郑井滨,张丽,安万新,等.全国采供血机构非标量及凝块血液报废情况调查分析.中国输血杂志,2017,30(5):488-490.
[6] 高芳,徐胜春.血液成分制备过程中血液报废情况及原因分析.当代临床医刊,2019,32(1):83-84.
[7] 李咏梅.长沙市血液非检测报废情况分析.中外医学研究,2013,11(23):148-149.
[8] 付竹筠.滤器血袋滤血不畅的原因分析与对策.临床输血与检验,2013,15(2):177-186.
[9] 黎美蓉.血液采集及临床输注过程中血凝块形成的原因分析与处理.实用中西医结合临床,2008,8(2):56-57.
[10] 张彩兰.海东中心血站成分制备过程中血液报废的原因分析.青海医药杂志,2017,47(8):66-67.
[11] 陈汉妹.全血采集流速慢的原因分析与护理.广东医学,2016,37(增刊):264.
[12] 李莹莹.对无偿献血采血过程中血流缓慢的问题探究.中国保健营养(下旬刊),2014,24(07):4426-4427.
[13] 刘丹.郑州地区外调血液报废原因分析及应对措施.实验与检验医学,2018,36(6):1018-1020..
[14] 唐泽萍,陈卫.探讨献血中采血不畅的原因及相应护理措施.检验医学与临床,2011,8(24):3071-3072.
[15] 孙先玲,郭艳珍,毕业,等.血浆置换过程中血流不畅原因及处理.中国输血杂志,2006,19(6):483.
[2] 叶惠芬,周晓.血站静脉穿刺采血进针角度的研究.牡丹江医学院学报,2013,34(5):76-77.
[3] 张美萍,牛长林,陈书芳.血液采集过程中出现凝块原因回顾分析.中国输血杂志,2012,25(11):1208-1209.
[4] 谭春译,杨雪,李聚林.非感染性输血不良反应的原因与预防控制措施新进展.广西医学,2018,40(18):2209-2217.
[5] 郑井滨,张丽,安万新,等.全国采供血机构非标量及凝块血液报废情况调查分析.中国输血杂志,2017,30(5):488-490.
[6] 高芳,徐胜春.血液成分制备过程中血液报废情况及原因分析.当代临床医刊,2019,32(1):83-84.
[7] 李咏梅.长沙市血液非检测报废情况分析.中外医学研究,2013,11(23):148-149.
[8] 付竹筠.滤器血袋滤血不畅的原因分析与对策.临床输血与检验,2013,15(2):177-186.
[9] 黎美蓉.血液采集及临床输注过程中血凝块形成的原因分析与处理.实用中西医结合临床,2008,8(2):56-57.
[10] 张彩兰.海东中心血站成分制备过程中血液报废的原因分析.青海医药杂志,2017,47(8):66-67.
[11] 陈汉妹.全血采集流速慢的原因分析与护理.广东医学,2016,37(增刊):264.
[12] 李莹莹.对无偿献血采血过程中血流缓慢的问题探究.中国保健营养(下旬刊),2014,24(07):4426-4427.
[13] 刘丹.郑州地区外调血液报废原因分析及应对措施.实验与检验医学,2018,36(6):1018-1020..
[14] 唐泽萍,陈卫.探讨献血中采血不畅的原因及相应护理措施.检验医学与临床,2011,8(24):3071-3072.
[15] 孙先玲,郭艳珍,毕业,等.血浆置换过程中血流不畅原因及处理.中国输血杂志,2006,19(6):483.