在苏丹的Omdurman教学医院,选择性手术程序的最大手术血液订购时间表
Mohanad Khalifa1, Eman Elhassan2, Faisal Ibrahim3
1General Surgery specialist, Sudanese Medical Specialization Board, Khartoum, Sudan. nadkhalifa33@gmail.com.
BMC surgery
|June 2, 2024
概括
手术血液订购实践显示效率低下,高的交叉匹配与输血比率表明大量的浪费. 优化血液使用对于满足患者需求和改善医院输血服务至关重要.
科学领域:
- 输血医学 输血医学
- 手术患者的血液管理
背景情况:
- 由于选择性手术的过度订购血液,血液银行面临短缺问题.
- 在这些程序中,只有30%的交叉匹配血液被使用.
- 精确估计输血需求对于优化血液订购时间表至关重要.
研究的目的:
- 评估血液订购和输血实践的效率.
- 评估接受选择性手术的患者的输血需求.
主要方法:
- 在6个月 (2019年7月至12月) 进行的前性,横截面,医院研究.
- 参与者包括在整体外科和泌尿器科接受选择性手术的患者.
- 收集关于血液单元请求,交叉匹配和输血的数据.
主要成果:
- 对207名患者要求443个血液单位;98.6%的交叉匹配.
- 只有100个单位 (22.8%) 被输血.
- 计算的交叉匹配与输血比为4.4,输血指数为1.6,输血概率为29.9%.
结论:
- 输血概率和输血指数处于最佳范围内,但高于标准指南.
- 相当一部分交叉匹配的血液没有被输血,这表明血液利用率可能会得到改善.
- 这些发现凸显了为选择性手术改进血液订购协议的必要性.
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