广县人民医院临床输血管理制度.doc

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1、广县人民医院临床输血管理制度临床输血管理制度广县人民医院临床输血管理制度 一、输血原则 1、临床输血应当遵照合理、科学的原则，避免浪费，杜绝不必要的输血。 2、血库必须优先、重点保证每次输血量在600ml（红细胞3个单位）以上的大型手术用血或急救治疗用血。 3、对一般性输血，可输可不输的一般不输，非输不可的要通过患者自体输血或动员家属、亲友互助献血或输血液代用品. 4、对血红蛋白在90g/L以上或手术用量在400ml（红细胞2个单位）以下者，除家属亲友互助献血外，原则上不得申请用血。 5、治疗性用血，80%以上应输成份血。 6、严格执行中华人民共和国献血法和医疗机构临床用血管理办法等各项规定。

2、 二、用血申请、审批 1、决定输血治疗前，经治医师应向家属说明同种异体血的不良反应和传播疾病的可能性，征得患者或家属同意，无家属的无自主意识患者的紧急输血，应报医务科或主管院长同意、备案，并记入病历。 2、申请输血应由经治医师逐项填写广饶县人民医院用血申请单，由上级医师或科主任把关并签字，登记后连同授血者血样送交血库备血。 3、急诊急救输血，临床医师可先申请400ml（红细胞2个单位）以下的用血，由上级医师签字（或补签字）后直接交血库供血；500ml1600ml（红细胞3-8个单位）的急救用血，要经科主任审批签字， 大于2000ml（红细胞10个单位）经医务科批准；大于4000ml（红细胞20

3、个单位）时，报医院领导审核签字再报血站备案。 4、对择期手术者，应大力推行自体输血，如自体输血有困难者，可动员家属或亲友献血，不论是自体或家属亲友供血，同样要填写广饶县人民医院用血申请单,经科主任签字, 医务科审批后施行。 5、治疗用血，对慢性病人血红蛋白在90g/L以下，应采用成份输血，缺什么补什么，由临床医师申请，科主任签字，方可供血。 三、输血反馈 临床输血要填写广饶县人民医院用血申请单，输血后要对输血（包括成份输血）后的有关情况认真填写输血反应纪录送血库，血库每月将反馈意见、分析结果上报医务部、主管医疗院长。结束语！祝大家学到有用的知识，提升自己的能力，实现自己的梦想，踏踏实实干好每一

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