Application investigation of electronic cross-matching in perioperative blood management
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摘要: 目的:探讨电子交叉配血技术在围术期输血管理中的安全性及应用。方法:利用实验室血型分析系统,对献血员红细胞标本进行ABO血型鉴定、Rh 5种血型抗原D、C、c、E和e检测、直接抗人球试验和不规则抗体筛查,在血型结果准确无误且直接抗人球试验和抗体筛查结果均阴性的前提下,将检测结果上传至输血信息管理系统,在此基础上建立献血者血型信息数据库;利用计算机识别技术为符合条件的围术期患者自动匹配ABO血型和Rh 5种血型抗原一致的血袋,实施电子交叉配血,同时采用血清学抗人球蛋白微柱法配血试验进行平行检测;对围术期输血管理各个环节实施全程质量控制,确保临床输血安全。结果:对符合电子交叉配血条件的5 000例围术期患者实施电子配血,同时采用血清学抗人球蛋白微柱法配血试验进行平行检测,未发现交叉配血不相合病例。2 183单位去白细胞悬浮红细胞被手术室取走并输注,未发现输血不良反应。结论:对符合条件的围术期患者实施电子配血技术是安全、可靠的,不仅可以缩短血液出库时间,保障输血安全;还可以提高输血工作效率和降低患者医疗费用。Abstract: Objective:To investigate the safety and application of electronic cross-matching in the management of perioperative blood transfusion (MPBT). Method:The identification of ABO, the detection of five Rh antigens (D, C, c, E and e), direct antiglobulin test (DAT) and irregular antibodies screening for blood donors were performed with the blood group analysis system. All the exact results were uploaded to Blood Information Management System. The database of donors' blood group was subsequently built. The electronic cross-matching was performed with computer identification technology which could choose the right blood with the same ABO and Rh blood group for perioperative patients. Total quality control in all aspects of MPBT was implemented to ensure the transfusion safety. Result:The electronic cross-matching was performed in 5 000 perioperative qualified cases. The Microcylinder Gel Card blood matching was also done simultaneously and no incompatible cases were found. 2 183 units of leukocyte-depleted suspension red blood cell were issued and no transfusion adverse reactions were reported. Conclusion:It was safe and reliable to use electronic cross-matching in perioperative qualified patients. It not only could shorten the issuing time but also improve the efficiency and reduce the costs of patients.
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Key words:
- electronic cross-matching /
- perioperative /
- transfusion safety
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[1] Ashford P,Gozzard D, Jones J,et al. Guidelines for blood bank computing[J]. Transfus Med,2000,10:307-314.
[2] 李红梅.电子交叉配血在临床输血中的应用[J].现代医药卫生,2012,28(17):2644-2645.
[3] Murphy GJ, Reeves BC, Rogers CA, et al. Increased mortality, postoperative morbidity, and cost after red bloodcell transfusion in patients having cardiac surgery[J].Circulation, 2007, 116:2544-2552.
[4] Dorneles Cde C, Bodanese LC, Guaragna JC, et al. The impact of blood transfusion on morbidity and mortality after cardiac surgery[J]. Rev Bras Cir Cardiovasc, 2011, 26:222-229.
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