[1]党盼玉,苏 珊,刘志新,等.RhD 阴性孕妇临床备血用血情况分析[J].现代检验医学杂志,2020,35(01):130-132.[doi:10.3969/j.issn.1671-7414.2020.01.034]
　DANG Pan-yu,SU Shan,LIU Zhi-xin,et al.Analysis on RBC Preparation and Transfusion of RhD Negative Pregnant Women[J].Journal of Modern Laboratory Medicine,2020,35(01):130-132.[doi:10.3969/j.issn.1671-7414.2020.01.034]
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RhD 阴性孕妇临床备血用血情况分析()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年01期
页码:
130-132
栏目:
检验与临床
出版日期:
2020-02-29

文章信息/Info

Title:
Analysis on RBC Preparation and Transfusion of RhD Negative Pregnant Women
文章编号:
1671-7414(2020)01-130-03
作者:
党盼玉; 苏 珊; 刘志新; 胡兴斌; 尹 文
(空军军医大学西京医院输血科,西安 710032)
Author(s):
DANG Pan-yu; SU Shan; LIU Zhi-xin; HU Xing-bin; YIN Wen
(Department of Blood Transfusion,Air Force Medical University of Xijing Hospital,Xi'an 710032,China)
关键词:
RhD阴性;  孕妇;  备血;  用血
分类号:
R457.12
DOI:
10.3969/j.issn.1671-7414.2020.01.034
文献标志码:
A
摘要:
目的 分析产科RhD阴性孕妇住院期间备血及用血情况,评价产科RhD阴性血液管理的安全性和有效性。 方法 选取产科住院期间的24 938例孕妇作为研究对象,通过“采供血机构信息管理系统”软件,对申请以及输注红细胞的病例进行收集。 结果 24 938例产科住院备血者中RhD阴性备血者2 098例,RhD阴性孕妇备血者占产科备血者的8.41%(2 098/24 938)。产科用血率4.70%(1 171/24 938),RhD阴性孕妇用血率3.29%(69/2 098),平均输注红细胞3.06U(211U/69,只进不舍)。阴性去甘油红细胞解冻率1.86%(39/20 98),解冻去甘油红细胞报废率逐年下降。 结论 库存阴性悬浮红细胞每天各型保持2U或者O型4U即可满足产科临床的常规需求。产科RhD阴性血液管理安全、有效,保障了稀有血液的合理利用。
Abstract:
Objective To analyze the blood preparation and transfusion of RhD negative obstetric pregnant women during hospitalization and evaluate the safety and the effectiveness of the blood management in RhD obstetric negative pregnant women. Methods 24 938 cases pregnant women during the period of obstetric hospitalization were selected as the research objects.The data of blood preparation and transfusion were collected through the software of“Information Management System for Blood Collection and Blood Supply Institutions”.Results Of the 24 938 cases of inpatient obstetric blood preparation, 2 098 were RhD-negative.RhD negative maternal blood preparers account for 8.41 %(2 098/24 938)of all obstetric blood preparers.The rate of obstetric blood use was 4.70%(1 171/24 938)and that of RhD negative pregnant women was 3.29%(69/2 098),average infusion of red blood cells 3.06 U(211/69, only in). Negative deglycerol erythrocytes defreeze 1.86 %(39/2 098).The scrap rate of thawed negative deglycerin red blood cells decreased year by year. Conclusion The routine clinic requirements of obstetrics can be met by keeping 2U of each ABO blood type of RhD negative suspended red blood cells or keeping 4U of O type every day.Blood management in RhD negative pregnant women is reasonable, safe and effective, which updates the modern transfusion concept of clinicians and ensures the rational transfusion of rare blood.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介:党盼玉(1987-),女,本科,输血技师,主要从事临床输血工作,E-mail:dangpanyu@163.com。 通讯作者:尹文,教授,博士生导师,主要从事临床输血和血液免疫学研究,E-mail:yinwen@fmmu.edu.cn。收稿日期:2019-03-20 修回日期:2019-04-12
更新日期/Last Update: 2020-03-30