《医疗机构临床用血管理办法》下月起正式施行今后患者用血量超标需审批 《Measures for the administration of medical institutions blood for clinical use》Next month in the future YongXieLiang formally went into patients to exceed bid for examination and approval

海南不存在异地用血报销困难 Hainan is difficult to submit an expense account in different use

　　8月1日起，《医疗机构临床用血管理办法》(以下简称“办法”)将正式实施。新“办法”将加强临床用血管理，通过“开源节流”，保障临床用血需求和血液安全。这个“办法”实施后，会对人们用血产生哪些影响？商报记者昨日就此进行了采访。

August 1,,，《Measures for the administration of medical institutions blood for clinical use》(Hereinafter referred to as“way”)Will be put into effect formally。new“way”Will strengthen management of blood for clinical use，Through the“Open source throttling”，Security needs blood for clinical use and safe blood。the“way”After implementing the，People use to what effects？Business newspaper reporters yesterday from reporters。

用血超标需经申报审批 Blood use exceeds bid must be approved by application for examination and approval

　　据悉，新“办法”要求，医疗机构应当建立临床用血申请管理制度。同一患者一天申请备血量少于800毫升的，由具有中级以上职称的医师提出申请，上级医师核准签发后，方可备血；同一患者一天申请备血量在800毫升至1600毫升的，由具有中级以上职称的医师提出申请，经上级医师审核，科室主任核准签发后，方可备血；同一患者一天申请备血量达到或超过1600毫升的，由具有中级以上职称的医师提出申请，科室主任核准签发后，报医务部门批准，方可备血。另外，禁止将用血量和经济收入作为输血科或者血库工作的考核指标。

It is reported，new“way”requirements，A medical institution shall apply for management system established blood for clinical use。The same patient a day for health for less than 800 ml，With intermediate above title to apply for the doctor，The doctor after approval issued，FangKeBei blood；The same patient a day for health in 800 for ml to 1600 ml，With intermediate above title to apply for the doctor，By the superior doctors audit，After approval, director of the department issued，FangKeBei blood；The same patient a day for HP to apply for more than 1600 ml or，With intermediate above title to apply for the doctor，After approval, director of the department issued，The medical department for approval，FangKeBei blood。In addition，Ban will YongXieLiang and economic income as a blood transfusion or blood Banks, the evaluation index of the work。

　　实现省内异地用血报销 Realize the different province blood to submit an expense account

　　“用血遭拒是常事，由于血资源紧张，患者常被医院用一句‘在血站献血就找血站要’打发了。报销时更是程序繁琐，患者来回奔波，精力和经济成本很高。”而在海南却不存在这样的问题。

“Rejected by blood is the norm，The blood resources nervous，Patients are often use a hospital‘Blood stations in blood donation will find blood stations’Sent the。Submit an expense account is program trival，Commute patients，Energy and economic cost is high。”And in hainan there is such a problem。

　　记者了解到，省血液中心为海南唯一一家采供血机构，自1998年10月1日《献血法》颁布实施起，海南已全面实现省内异地用血报销。与全国其他省市多家采供血机构并存、执行多个用血报销标准不同，省血液中心在全省执行同一用血报销标准。海南献血者及其父母、配偶、子女在用血时，可就近在省血液中心或其下属分支机构予以报销相关费用。同时，为了让献血者在用血报销时得到更为优质、周到的服务，省血液中心安排了指定科室全程负责，由专人带领献血者进行资料核对、审核、复印、费用报销等工作，让献血者可以快捷、便利地完成用血报销事宜。据统计，2011年，海南共有1089人次享受用血报销，其中市县报销315人次。

The reporter understands，Hainan province blood center for only a CaiGongXie institutions，Since October 1, 1998《act》Promulgated on，Hainan province has fully realize different blood use to submit an expense account。And other provinces and municipalities of the country is home to more than CaiGongXie institutions co-existing、Perform multiple blood use different standard to submit an expense account，Province in the blood center perform the same blood use standard to submit an expense account。Hainan blood donors and their parents、spouse、Children in the blood，But near the provincial blood center or its subordinate branches shall submit an expense account charges。At the same time，In order to let blood donors in blood by more quality submit an expense account、Considerate service，Province blood center the designated department responsible for the whole arrangement，Guided by donors to material check、audit、copy、To submit an expense account，Let blood donors can quickly、To complete blood use convenient reimbursement matters。According to the statistics，2011 years，There were 1089 people enjoy hainan blood to submit an expense account，Which city and county to submit an expense account to 315 persons。

　　自体输血模式将被推广 Autologous blood transfusion mode will be promoted

　　据了解，“办法”中还规定，医疗机构应当积极推行节约用血的新型医疗技术。三级医院、有条件的二级医院和妇幼保健院应当开展自体输血技术，建立并完善管理制度和技术规范，提高合理用血水平，保证医疗质量和安全。医疗机构应当动员符合条件的患者接受自体输血技术，提高输血治疗效果和安全性。

According to understand，“way”In return a regulation，A medical institution shall actively promote saving new medical technologies of blood。Level 3 hospital、Conditional level 2 hospital maternity and child care centers and autologous blood transfusion technology shall carry out，To establish and perfect the management system and technical standard，Improve the reasonable level of blood，Ensure medical quality and safety。A medical institution shall mobilize meet the conditions of the patients who receive autologous blood transfusion technology，Improve blood transfusion treatment effect and the safety。

　　据介绍自体输血简单地说就是用自己的血，救自己的命，是指在患者需要用血时，输入患者自己预先储存或手术中失血回收的血液。自体输血技术成了目前解决血液紧张的主要手段之一。

According to the introduction of autologous blood transfusion is simply stated in his own blood，Save his life，It is to point to in the patients need blood，Input patients in advance their store or surgery recovery of blood loss of blood。Self blood transfusion technology became at present solve one of the principal means of blood nervous。

　　省人民医院血液内科林主任告诉记者，省医院血液科十几年前做骨髓移植的患者进行过自体输血，而今由于多数患者不愿意，已经没有自体输血的了。林主任表示，在血液欠缺的今天，自体输血是不错的选择。患者可以在术前确保身体状况较佳的前提下，提前贮备一定量自身血液，以供应自己手术的输血需求，这是一种储存式的自体输血。急性等容性血液稀释通过术前采血并用胶体液或等渗晶体液替代血液的方法来储备一定量的自体血，可以用于术中或术后的血液输注。除了术前的准备外，术中也可以利用自己在手术过程的出血进行回输。手术中的大量出血可以收集并通过医疗设备处理后，再输给病人，有效地达到了循环利用血资源的要求。

Province people's hospital in blood director colin told reporters，Province qilu hospital a decade ago do bone marrow transplant with autologous blood transfusion，Now because most patients would not，Have no autologous blood transfusion。Lin, said，In the blood lack of today，Autologous blood transfusion is right choice。Patients can ensure that physical condition in preoperative better premise，Reserve a certain amount in advance their own blood，To supply their operation needs a blood transfusion，This is a kind of storage type autologous blood transfusion。Acute normovolaemic dilution through the preoperative blood sampling and colloid liquid or crystalloid blood seeping such as alternative ways to reserve a certain amount of autologous blood，Can be used in the perioperative or postoperative blood transfusion。In addition to the preoperative outside，Intraoperative could also use their in an operation on bleeding back to lose。The operation of the bleeding can collect and through the medical equipment after treatment，Then lost to the patient，Effectively achieved recycling resource requirements of blood。

　　据悉，省卫生厅从今年开始，将在年用血量超过3000单位的各级各类医疗机构大力推进自体输血工作，争取尽早达到卫生部要求的水平。(国际旅游岛商报 记者常珊珊)

It is reported，Provincial health department from the beginning of this year，In the years to YongXieLiang is more than 3000 unit at various levels and of various kinds of medical institution autologous blood transfusion to promote work，Strive for to the level of demand as early as possible。(International tourism island commercial daily reporter often shan)