Application of Electronic Crossmatch Technique in the Preparation of Blood in Operation_West China Medical Journal

Authors：

 LIUJia-rui , CHENLiang ,  WANGYuan-jie , LIHong-mei , FENGNing , FENGJun-cheng

Suining Center Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding author：

WANGYuan-jie, Email: scsnwyj@126.com

Keywords：

Electronic cross-matching; Antibody screening; Compatibility; Operation blood preparation

DOI：

10.7507/1002-0179.20140400

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical application of electronic crossmatch technique in the preparation of blood in operation. Methods Between January 2012 and December 2012, in the donor and the application operation preparation of blood in patients with ABO/RhD, blood type was detected and antibody was screened. The donors with correct blood type and negative antibody and the patients with accordant results of two blood identification and negative antibody underwent electronic cross-matching by electronic cross-matching rules, and completed the blood preparation program. At the same time, the patients underwent traditional blood cross-matching method for preparation to ensure the blood compatibility and to compare the advantages and disadvantages of the two kinds of preparing methods. Results In 7721 blood samples, 7647 samples matched the electronic cross-matching rules; no incompatibility of ABO/RhD was found using electronic cross-matching by computer system. Also, no incompatibility was found using cross-matching by traditional serum method in 7647 blood samples; the average time was 10 minutes, while 100% occupation of blood preparation for operation was found. Conclusion Electronic cross-matching techniques for preparing operation can save manpower and material resources, and also may optimize the operation process, improve the work efficiency and the safety of blood transfusion.

Citation： LIUJia-rui, CHENLiang, WANGYuan-jie, LIHong-mei, FENGNing, FENGJun-cheng. Application of Electronic Crossmatch Technique in the Preparation of Blood in Operation. West China Medical Journal, 2014, 29(7): 1313-1315. doi: 10.7507/1002-0179.20140400 Copy

1.	张伟强, 饶月丽, 邬丽娜, 等. 输血科在科学合理用血中的作用[J]. 临床血液学杂志·输血与检验版, 2009, 22(5):528-529, 535.
2.	李大江, 张卫东, 程南生, 等. 减少手术输血, 推广合理用血管理的实践与探索[J]. 华西医学, 2011, 26(12):1906-1908.
3.	Judd WJ. Requirements for the electronic crossmatch[J]. Vox Sang, 1998, 74(Suppl 2):409-417.
4.	叶应妩, 王毓三, 申子瑜. 全国临床检验操作规程[M]. 3版. 南京:东南大学出版社, 2006:246-266.
5.	郭永建, 池泉. 电子配血与电子发血[J]. 中国输血杂志, 2007, 20(6):523-526.
6.	何子毅, 刘赴平, 车嘉琳. 电子交叉配血的现状和展望[J]. 临床输血与检验, 2009, 11(4):380-310.
7.	王宝燕, 张建耕. 择期手术备血的风险和工作要点[J]. 临床血液学杂志·输血与检验版, 2007, 4(5):195-197.
8.	郭靓, 谭斌, 王立新, 等. 华西医院输血相关法律及用血知识问卷调查及分析[J]. 华西医学, 2008, 23(5):1143-1144.
9.	王玲, 周皓君. 输血相关系数对择期手术备血方案选择的影响[J]. 中国输血杂志, 2013, 26(9):955.
10.	赖科. 1991~2010年某院输血统计与备血策略分析[J]. 国际检验医学杂志, 2011, 32(19):2290-2292.
11.	杜海燕, 周俊, 张长虹, 等. 术中输血量超过预约量情况调查[J]. 人民军医, 2012, 55(12):1195-1196.
12.	招伟贤, 黎涌. 备血不足手术大量失血的应急策略[J]. 中国输血杂志, 2008, 21(4):327-328.
13.	伍伟健, 田兆嵩. 临床输血应遵循的基本程序[J]. 中国输血杂志, 2008, 21(3):226-231.
14.	Georgsen J, Jensen F, Jeppesen S, et al. Transfusion service of the county of Funen. Organizational and economical aspects of restructuring[J]. Ugeskr Laeger, 1997, 159(12):1758-1762.
15.	Butch SH, Judd WJ, Steiner EA, et al. Electronic verification of donor-recipient compatibility:the computer crossmatch[J]. Transfusion, 1994, 34(2):105-109.
16.	刘家瑞, 王远杰, 李红梅, 等. 电子交叉配血临床应用研究[J]. 四川医学, 2012, 33(11):2023-2025.
17.	Cheng G, Chiu DS, Chung AS, et al. A novel system for providing compatible blood to patients during surgery:"self-service" electronic blood banking by nursing staff[J]. Transfusion, 1996, 36(4):347-350.
18.	Engelfreit CP, Reesink HW, Krusius T, et al. The use of the computer cross-match[J]. Vox Sang, 2001, 80(3):184-192.

1. 张伟强, 饶月丽, 邬丽娜, 等. 输血科在科学合理用血中的作用[J]. 临床血液学杂志·输血与检验版, 2009, 22(5):528-529, 535.
2. 李大江, 张卫东, 程南生, 等. 减少手术输血, 推广合理用血管理的实践与探索[J]. 华西医学, 2011, 26(12):1906-1908.
3. Judd WJ. Requirements for the electronic crossmatch[J]. Vox Sang, 1998, 74(Suppl 2):409-417.
4. 叶应妩, 王毓三, 申子瑜. 全国临床检验操作规程[M]. 3版. 南京:东南大学出版社, 2006:246-266.
5. 郭永建, 池泉. 电子配血与电子发血[J]. 中国输血杂志, 2007, 20(6):523-526.
6. 何子毅, 刘赴平, 车嘉琳. 电子交叉配血的现状和展望[J]. 临床输血与检验, 2009, 11(4):380-310.
7. 王宝燕, 张建耕. 择期手术备血的风险和工作要点[J]. 临床血液学杂志·输血与检验版, 2007, 4(5):195-197.
8. 郭靓, 谭斌, 王立新, 等. 华西医院输血相关法律及用血知识问卷调查及分析[J]. 华西医学, 2008, 23(5):1143-1144.
9. 王玲, 周皓君. 输血相关系数对择期手术备血方案选择的影响[J]. 中国输血杂志, 2013, 26(9):955.
10. 赖科. 1991~2010年某院输血统计与备血策略分析[J]. 国际检验医学杂志, 2011, 32(19):2290-2292.
11. 杜海燕, 周俊, 张长虹, 等. 术中输血量超过预约量情况调查[J]. 人民军医, 2012, 55(12):1195-1196.
12. 招伟贤, 黎涌. 备血不足手术大量失血的应急策略[J]. 中国输血杂志, 2008, 21(4):327-328.
13. 伍伟健, 田兆嵩. 临床输血应遵循的基本程序[J]. 中国输血杂志, 2008, 21(3):226-231.
14. Georgsen J, Jensen F, Jeppesen S, et al. Transfusion service of the county of Funen. Organizational and economical aspects of restructuring[J]. Ugeskr Laeger, 1997, 159(12):1758-1762.
15. Butch SH, Judd WJ, Steiner EA, et al. Electronic verification of donor-recipient compatibility:the computer crossmatch[J]. Transfusion, 1994, 34(2):105-109.
16. 刘家瑞, 王远杰, 李红梅, 等. 电子交叉配血临床应用研究[J]. 四川医学, 2012, 33(11):2023-2025.
17. Cheng G, Chiu DS, Chung AS, et al. A novel system for providing compatible blood to patients during surgery:"self-service" electronic blood banking by nursing staff[J]. Transfusion, 1996, 36(4):347-350.
18. Engelfreit CP, Reesink HW, Krusius T, et al. The use of the computer cross-match[J]. Vox Sang, 2001, 80(3):184-192.

West China Medical Journal

Application of Electronic Crossmatch Technique in the Preparation of Blood in Operation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content