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临床输血会诊调查与典型病例分析

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目的 分析输血会诊病例特点和制定会诊路径,为输血医师参与输血会诊实践提供参考.方法 利用医院信息系统(HIS)收集 2020-2023 年本院输血科参与临床输血会诊的病例,按科室、会诊类型分类统计,总结输血会诊要点,制定输血会诊路径,并对典型病例进行分析.结果 2020-2023 年临床输血会诊 315 例,呈逐年上升趋势(2020-2023 年分别为 26 例、67 例、81 例、141 例),涉及心血管内科[14.0%(44/315)]、骨科[12.7%(40/315)]、重症医学科[8.9%(28/315)]、全科医学科[8.3%(26/315)]、心肺疾病科[6.0%(19/315)]等 24 个科室,会诊分类包括 35.6%(112/315)三氧自体输血,23.8%(75/315)血浆置换,14.9%(47/315)围术期大量备(输)血,11.4%(36/315)富血小板血浆治疗和6.3%(20/315)自体血液采集等8 个方面,总结会诊特点,制定临床输血会诊路径.6 名不同疾病患者经输血科会诊,采取积极有效治疗措施,均好转出院.结论 输血科总结临床输血会诊要点,制定输血会诊路径,有利于落实输血会诊工作,确保患者医疗安全.
Clinical transfusion consultation investigation and typical case analysis
Objective To analyze the characteristics of blood transfusion consultation cases and establish the consulta-tion route,so as to provide reference for blood transfusion doctors to participate in blood transfusion consultation practice.Methods The cases involved in clinical transfusion consultation in the blood transfusion department of our hospital from 2020 to 2023 were collected from the hospital information system(HIS),and then classified by department and consultation type to summarize the main points of transfusion consultation,formulate transfusion consultation routes,and conduct typical cases analysis.Results There were 315 clinical transfusion consultations from 2020 to 2023,with an increasing trend year by year(26 in 2020,67 in 2021,81 in 2022,141 in 2023).The consultations involved 24 departments,including cardio-vascular medicine 14.0%(44/315),orthopedics 12.7%(40/315),intensive care medicine 8.9%(28/315),general medi-cine 8.3%(28/315),cardiopulmonary disease 6.0%(19/315),etc.There were 8 categories of consultations,including 35.6%(112/315)autologous ozonized blood transfusion,23.8%(75/315)plasma exchange,14.9%(47/315)perioperative mass blood preparation(transfusion),11.4%(36/315)platelet-rich plasma therapy and 6.3%(20/315)autologous blood collection,etc.The clinical blood transfusion consultation route was formulated according to the consultation points.Six pa-tients with various diseases were treated by blood transfusion department.With effective treatment measures taken,all of them improved and were discharged.Conclusion The summary of key points of clinical blood transfusion consultation and formulation of the blood transfusion consultation route by department of blood transfusion are conducive to the implementation of blood transfusion consultation and guarantee the safety of patients.

blood transfusion consultationpatient blood managementtypical casesplasma exchangeplatelet-rich plasmaautologous ozonized blood transfusion

杨俊龙、白艳丽、杜旭利、张斌、王博

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西安国际医学中心医院 输血科,陕西 西安 710100

输血会诊 患者血液管理 典型病例 血浆置换 富血小板血浆 三氧自体输血

西安国际医学中心医院院级项目

2022MS11

2024

中国输血杂志
中国输血协会 中国医学科学院输血研究所

中国输血杂志

CSTPCD
影响因子:1.279
ISSN:1004-549X
年,卷(期):2024.37(5)
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