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目的:探讨单采血小板的失败原因,总结经验与方法,改进措施,避免血液及耗材的浪费。方法:选取肇庆市中心血站2012年-2014血小板采集失败例数41例作为研究对象,回顾献血者的一般资料和血小板采集过程,分析采集失败的原因,并以此为依据制定针对性的改进措施。结果:41例患者采集失败的最大原因在于献血反应,占比(43.9%),其次依次为技术因素(14.6%)、血管因素(12.2%)、冲红因素(12.2%)、耗材质量因素(9.8%)、乳糜血因素(7.3%)。结论:影响血小板采集失败的因素较多,必须实施改进措施,规范采集操作,提升工作人员的专业水平,才能确保采集工作的质量和安全性。
Objective: To explore the causes of apheresis plate failure, summarize experience and methods, improve measures to avoid the waste of blood and consumables. Methods: Choosing 41 cases of platelet collection failed in 2012-2014 center blood bank in Zhaoqing City as the research object, reviewing the general data of blood donors and the platelet collection process, analyzing the reasons for the failure of collection and making targeted improvements based on this Measures. Results: The biggest cause of failure in 41 patients was blood donation reaction, accounting for 43.9%, followed by technical factor (14.6%), vascular factor (12.2%), reddish factor (12.2%), consumables quality factor 9.8%), chylous blood factor (7.3%). Conclusion: There are many factors that affect the failure of platelet collection. It is necessary to implement improvement measures, standardize the collection operation and improve the professional level of staff in order to ensure the quality and safety of collection.