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：

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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

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12.	招偉賢, 黎涌. 備血不足手術大量失血的應急策略[J]. 中國輸血雜志, 2008, 21(4):327-328.
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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.	劉家瑞, 王遠杰, 李紅梅, 等. 電子交叉配血臨床應用研究[J]. 四川醫學, 2012, 33(11):2023-2025.
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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. 張偉強, 饒月麗, 鄔麗娜, 等. 輸血科在科學合理用血中的作用[J]. 臨床血液學雜志·輸血與檢驗版, 2009, 22(5):528-529, 535.
2. 李大江, 張衛東, 程南生, 等. 減少手術輸血, 推廣合理用血管理的實踐與探索[J]. 華西醫學, 2011, 26(12):1906-1908.
3. Judd WJ. Requirements for the electronic crossmatch[J]. Vox Sang, 1998, 74(Suppl 2):409-417.
4. 葉應嫵, 王毓三, 申子瑜. 全國臨床檢驗操作規程[M]. 3版. 南京:東南大學出版社, 2006:246-266.
5. 郭永建, 池泉. 電子配血與電子發血[J]. 中國輸血雜志, 2007, 20(6):523-526.
6. 何子毅, 劉赴平, 車嘉琳. 電子交叉配血的現狀和展望[J]. 臨床輸血與檢驗, 2009, 11(4):380-310.
7. 王寶燕, 張建耕. 擇期手術備血的風險和工作要點[J]. 臨床血液學雜志·輸血與檢驗版, 2007, 4(5):195-197.
8. 郭靚, 譚斌, 王立新, 等. 華西醫院輸血相關法律及用血知識問卷調查及分析[J]. 華西醫學, 2008, 23(5):1143-1144.
9. 王玲, 周皓君. 輸血相關系數對擇期手術備血方案選擇的影響[J]. 中國輸血雜志, 2013, 26(9):955.
10. 賴科. 1991~2010年某院輸血統計與備血策略分析[J]. 國際檢驗醫學雜志, 2011, 32(19):2290-2292.
11. 杜海燕, 周俊, 張長虹, 等. 術中輸血量超過預約量情況調查[J]. 人民軍醫, 2012, 55(12):1195-1196.
12. 招偉賢, 黎涌. 備血不足手術大量失血的應急策略[J]. 中國輸血雜志, 2008, 21(4):327-328.
13. 伍偉健, 田兆嵩. 臨床輸血應遵循的基本程序[J]. 中國輸血雜志, 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. 劉家瑞, 王遠杰, 李紅梅, 等. 電子交叉配血臨床應用研究[J]. 四川醫學, 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

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