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电子交叉配血应用中国专家共识

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电子交叉配血作为 1 种利用计算机系统进行血型匹配的新兴技术,正逐步成为提升输血安全性与效率的重要手段。在我国整体医疗水平和民众对输血服务预期值的不断提升的背景下,传统交叉配血方法存在操作繁琐、时间成本高、应急响应能力不足等方面的局限性,使得电子交叉配血的推广与应用显得尤为迫切。电子交叉配血通过简化输血流程,优化血型匹配,显著提高了输血的精准性与安全性。虽然电子交叉配血作为独立技术已展现出显著优势,但在特定情况下,结合Rh分型匹配输注可进一步减少Rh同种意外抗体的产生,并降低输血反应风险。2者结合应用能够更全面地提升输血服务的质量,具体应用应根据临床需求灵活选择。因此,中国输血协会临床输血学专业委员会组织专家制定了本专家共识,以指导电子交叉配血及其与Rh分型匹配输注结合应用在我国的推广,推动输血医学向高效化、智能化方向发展。
Chinese expert consensus on the implementation of electronic crossmatch
The advent of electronic crossmatch,an innovative technology leveraging computerized systems for blood type compatibility assessment,is progressively establishing itself as a pivotal method for augmenting the safety and efficacy of blood transfusions.In the context of China's advancing medical standards and rising public expectations for transfusion serv-ices,the limitations inherent in traditional crossmatch techniques,such as intricate procedures,substantial time consump-tion and inadequate emergency response capabilities,underscore the urgent need for the adoption and implementation of e-lectronic crossmatch.By streamlining transfusion workflows and optimizing blood type compatibility,electronic crossmatch markedly enhances the accuracy and safety of blood transfusions.While electronic crossmatch has exhibited considerable standalone benefits,integrating it with Rh phenotyping compatible transfusion in specific scenarios can further mitigate the formation of Rh alloantibodies and diminish the risk of transfusion-associated complications.The synergistic application of both methods can more holistically elevate the quality of transfusion services,necessitating flexible deployment based on clinical exigencies.Consequently,the associations of Working Party on Clinical Transfusion Medicine of Chinese Society of Blood Transfusion have convened experts to formulate this consensus,aimed at guiding the promotion of electronic crossmatch and its integration with Rh phenotyping compatible transfusion in China,thereby propelling the transfusion sys-tem towards enhanced intelligence and operational efficiency.

electronic crossmatchRh phenotypingcompatible transfusion

中国输血协会临床输血学专业委员会、蔡晓红、顾海慧、张琦、何子毅、雷航、王学锋、向东、钱宝华、夏荣、汪德清、胡丽华

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电子交叉配血 Rh分型 匹配输血

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(9)