目的 了解广州市区全血乳糜血报废的趋势变化和献血人群特征,并分析其背后的原因,为进一步减少全血乳糜血报废提供参考依据。方法 通过广州血液中心信息系统检索,统计2017—2019年期间中心全血乳糜血报废量、报废率等相关数据,并分层统计性别、年龄、献血方式与报废的关系,提出有效减少乳糜血报废的对策。结果 2017—2019年期间广州血液中心共采集制备3 003 998单位血液,因乳糜血原因报废的血液达69 311单位,报废率2.31%,占总报废的44.02%。其中,男性献血者乳糜血报废率显著高于女性献血者,报废血液主要为18～40岁年龄段的无偿献血,约一半报废血来自团体献血者。结论 加大献血知识的宣传,特别是团体献血者;做细献血前征询工作和献血后跟踪随访;关注男性和年轻献血者,进一步减少全血乳糜血报废几率。

Objective To evaluate the trend of scrapped chylemia blood in whole blood collection and the characteristics of blood donors in urban area of Guangzhou, analyze the reasons behind so as to provide reference for further reducing chylemia blood scrapped. Methods Search the whole blood collection and scrapped chylemia blood data from 2017 to 2019 through the information system of Guangzhou Blood Center, stratifiy gender,age,donation way, and look for solutions. Results 3 003 998 U blood component were collected and prepared from 2017 to 2019. Totally 69 311 U chylemia blood were scrapped due to chylemia blood, accounting for 44.02% of the total discarded blood. Scrapped chylemia blood rate were significantly higher among male blood donors than among female donors,and mainly aged from 18-40 donors. About half of the discarded blood came from group donors. Conclusion Greater efforts to publicize especially for group donors,careful consultation before blood donation and follow-up after blood donation should be taken. We should pay close attention to male and young blood donors, so as to further reduce the possibility of scrapped chylemia blood.

目的 分析2016—2018年度广州市单采血小板报废的主要原因,并探讨如何降低单采血小板报废率。方法 统计2016—2018年度广州市单采血小板的采集量、报废数量和报废率等相关数据,分析报废原因,提出相应改进措施。结果 2016—2018年广州血液中心单采血小板总报废率为1.13%,三年的报废率逐年下降。报废的最主要原因为血液感染因子筛查不合格或ALT异常,占总报废率64.44%;其次分别为血量不足(占比14.4%)、采血耗材/血袋/热合口漏(占比11.01%)等。结论 我中心单采血小板报废率虽逐年下降,但仍需加强献血前宣传,动员更多的健康适龄公民参加无偿献血,同时重视采前血液感染因子的筛查工作、采血前及采血过程的护理干预、设备维护保养和产品处理能力的培训,进一步有效降低血液报废率。

Objective To analyze the main causes of apheresis platelets discarding in Guangzhou from 2016 to 2018, and discuss how to reduce the discarding rate. Methods Collected the data of apheresis platelets collection, the discarding number and the discarding rate in Guangzhou from 2016 to 2018,to analysis the reasons of apheresis platelets discarding and introducing improvement measures. Results From 2016 to 2018, the total discarding rate of apheresis platelets collected from Guangzhou Blood Center was 1.13%. In the three years,the discarding rate declined year by year.The main reasons for apheresis platelets discarding were the result of blood infection factor test or ALT was not qualified, accounting for 64.44% of the total scrapping rate. Then followed by insufficient blood volume (14.4%) and Blood consumables/blood bags/heat closure leakage (11.01%). Conclusion Although the rate of apheresis platelet discarding in Guangzhou Blood Center is decreasing year by year, we still need to enhance blood donation propaganda, mobilize more healthy citizens to participate in blood donation, and pay attention to the screening of blood infection factors before blood collection, nursing blood donor before and during blood collection, and training of ability in equipment maintenance and product handling, so as to further effectively reduce the rate of blood discarding.

目的 分析广州市区2014—2016年无偿献血血液报废情况,探讨降低血液报废措施,减少血液报废。方法 收集并统计广州市区2014—2016年血液报废情况,分别统计报废血液比例。结果 2014—2016年报废血液产品共170 576 U,报废率为5.99%;非检验原因报废率(3.11%)高于检验原因报废率(2.88%),检验原因报废率呈逐年下降趋势,其中ALT及HBsAg报废率较高,非检验原因报废率呈逐年上升,其中乳糜血报废率较高。结论 进一步加强献血宣传和征询工作,以及做好团队献血的快速筛查工作,提高工作人员的操作水平,均有利于进一步降低血液报废率。

Objective To analysis blood products and disposal situation in Guangzhou from 2014-2016 to provide measures for reduce the scrap rate. Methods Collecting and statistical analysis of blood products scrap rate from 2014-2016 in Guangzhou respectively. Results A total of 170 576U blood products were scrapped in 2014-2016 and the scrap rate was 5.99%, in which non-detection scrap rate (3.11%) was higher than detection scrap rate (2.88%). Non-detection scrap rate was decreasing these years, among which ALT and HBsAg had a large proportion, while detection scrap rate was increasing, in which chylaemia scrap rate was the most highest. Conclusion We need to strengthen and publicize blood donation, as well as do well rapid screening of team blood donation and improve the operating level of staff.