" festival blood " : Need technology to need the idea even more

" festival blood " : Need technology to need the idea even more
A few days ago, on the fifth blood transfusion conference of chinese society of blood transfusion (CSBT) and 2010 Chinese blood transfusion forums on the senior level of medical science held in Sichuan Province Chengdu, " the blood is neglected " The incident receives much concern. The blood transfusion service increases the new action that the blood source supplies, has attracted the sight of a lot of medias. But the clinical blood transfusion expert pays close attention to another group of data even more: 2008, Beijing several dozen hospital launch, go back, fail the intersection of body and blood, body the intersection of blood transfusion and rate reach oligemic 19.6% allosome since, retrieve nearly 12 tons of blood sparingly, it is equivalent to 60,000 persons' blood donating amount. The clinical blood transfusion expert calls on urgently, in the face of rare and precious blood resources, it is likewise important to reduce expenditure and increase income, it is even more important.
Simple " blood of nutrition " Should stop
"In recent years, the hospital annual operation amount presents two -figure number to increase. Use thereupon increase too of the strength of blood pressure. " BJ Union Hospital anaesthetizes head of the department Huang YuGuang and says, the medical treatment of Beijing uses blood volume to rise to 700,000 units in 2008 from 268,000 units in 1998 clinically, have increased by 161%.
This kind of situation exists in the other areas too. Take Zhejiang Province as examples, the blood used in clinic that should be saved in 2007 is 156.4 tons, will have already risen to 182 tons in 2009, save blood all products supply with still have 20%~30% gap.
The one that merited attention even more is, does such rare blood resource get rational utilization in the hospital? Last year, experts investigated 199 second hospital and 16 tertiary hospitals of Sichuan Province, the result reveals, it is up to 20%- 30% with blood rate that unreasonable.
The blood is not the nutriment, not a new concept for a lot of doctors. Say with yellow the intersection of space and mere each allogenic blood transfusion is equivalent to small-scale organ transplant, "a large number of allogenic cell, antigen that input and whether physiological response that leucocyte drive regulate the factor, increase, infect probability while being postoperative, might accelerate tumour grow and recur, initiate the intersection of blood transfusion and the intersection of relevance and acute lung damage" . Even blood testing is tighter, there will be possibility of being infected with disease in blood transfusion.
Even so, " blood transfusion supplies nutrition " Situation remain as before. "For example, some at the basic level hospital will for the intersection of lying-in woman and supplementary pieces of, ' the intersection of nutrition and blood ' ' comfort blood ' that produce just, the indication of blood transfusion is grasped too widely. " The blood transfusion head of the department Gong JiWu of BJ Hospital of Ministry of Public Health says.
In addition, apply to prepare against the blood, escapes applying and generally exist in the hospital too with the blood examination and approval procedures on a small quantity many times. According to the stipulations of Ministry of Public Health, once of clinical blood transfusion, while using blood, preparing against over 2000 ml of blood volume, pass the blood transfusion dept. ' Blood bank) The doctor holds a consultation, is submitted to medical matters subject for approval after being and then signed by the chief of the office of the department. Sichuan the intersection of university and institute, Western medicine of China, anaesthetize the intersection of head of the department and Liu, enter, explain, relatively until this kind take, pass very heavy " the outpost of the tax office " looks Application,doctors it it reaches that they are desired to use by blood volume for to choose getting more willingly by applications of small quantity numerous, the ones that made settlement of the system played and can not anticipate in this accused of function with the blood vessel.
At the end of last century, Ministry of Public Health begins to advocate using the component blood clinically in a more cost-effective manner. Cure the data that the policy department reveals according to Ministry of Public Health, till last year, the clinical composition of our country has already been up to 99% with the rate of utilization of blood. But appeared with this gratifying phenomenon at the same time, there is too fast growth of blood plasma consumption. From January of 2007 to June of 2008, the hospital of Ministry of Public Health managed the research institute once to 6 provinces (market) 36 blood plasma of hospital use, go on to appraise,it is control tightly blood plasma's indication to use for 22% hospital not to find.
China Western medicine institute with more than 4000 berths has done to 214,000 therapeutic impatients of surgery and carried on the investigation to 1996 - 2007 in this institute, the result finds too infusion rate, the patient's per person's consumption of the blood plasma soar year by year. Liu Jin says, though study to that the reason to cause this kind of soaring is not precise, but the one that can affirm is, most patients who it is accepted that the blood plasma infuses are not the patient with the obstacle of blood coagulation function.

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