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目的:调查分析无偿献血血液报废原因,探讨降低血液报废率的有效方法,减少血液资源浪费。方法:对西京医院输血科2009-2014年报废血液资料按照报废原因进行分类统计。结果:传染病筛查阳性(ALT、HBsAg、HCV抗体、HIV抗体、TP抗体)为血液报废的主要原因,非传染病筛查因素(不足量、破袋、凝块、溶血、过期、乳糜)为血液报废的次要原因。2009-2011年传染病筛查阳性报废率呈上升趋势,2012-2014年传染病标志物阳性报废率呈下降趋势,2009-2014年非传染病标志物因素报废率呈上升趋势。结论:加强无偿献血知识宣传,注重献血前咨询,增加初筛项目,在血液采集、分离、包装、储藏及运输中规范操作,可有效降低血液报废率。
OBJECTIVE: To investigate and analyze the causes of blood waste in voluntary blood donation, to explore effective ways to reduce the blood reject rate and to reduce the waste of blood resources. Methods: Xijing Hospital Department of blood transfusion 2009-2014 scrapped blood data in accordance with the causes of scrap classification statistics. RESULTS: Infectious disease screening positive (ALT, HBsAg, HCV antibody, HIV antibody, TP antibody) were the major causes of blood wastes, non-communicable disease screening factors (inadequate, broken bags, clots, hemolysis, expired, chyle) The main reason for the blood scrapped. In 2009-2011, the positive rejection rate of infectious disease screening is on the rise. The positive rate of rejection of infectious disease markers will decrease from 2012 to 2014, and the rate of non-communicable disease marker factors will increase from the year of 2009 to 2014. Conclusion: To strengthen the knowledge of blood donation, pay attention to pre-blood donation counseling, increase the number of screening projects, regulate and operate blood collection, separation, packaging, storage and transportation, which can effectively reduce the blood scrap rate.