血液成本能否有本明细账 Blood can cost have this subsidiary ledger

　　无偿献血，有偿用血，一直让献血者心存疑惑的问题还是采血成本到底是多少？能不能有本明细账？血液价格是不是合理？血液价格可降价的空间还有多大？

Blood donation，Paid blood use，Always let blood donors of blood to be confused or cost exactly is how much？Can you have this subsidiary ledger？Blood is reasonable price？Blood can be the space of the price cut prices and how much？

估算>>　9个检测项目成本约百元？ estimate>>9 test project cost about one hundred yuan？

　　面对无偿献血有偿使用的疑问，血站的公开解释是采集、储存、检测血液都是有成本的。但血液成本究竟是多少，其中检测费用又能占到多大的比例呢？献血的人始终不明白。

Face of blood donation without compensation paid for the use of questions，Blood stations public explanation is collected、storage、Testing blood has come at a cost。But just how much blood cost，One test fee and the proportion of accounted for much？People always don't understand of blood donation。

　　济南一家省级三甲医院输血科内部人士透露，无偿献血中，第一步就是血液中心采血，采血的成本包括采血车出车费用，汽油费、血袋费、棉棒等材料费用，流动采血车的电费、停车费等。这些成本中，血袋的价格在30元—40元之间。

Jinan a provincial 3 armour hospital blood transfusion secco source said，Blood donation in，The first step is blood collection centers，The cost of the CaiXieChe including collection costs，Gasoline fees、Department fee、Cotton stick material costs，CaiXieChe flow of electricity、Parking, etc。The cost of，The price of the department in RMB 30-40 yuan。

　　按照(山东)省血液中心向社会公开的无偿献血相关信息，无偿献血者首先要进行健康体检，并会采集献血者血样进行快速检测(ABO血型、Hb、ALT、HBsAg)。

According to(shandong)Province blood center to the public to donate their blood of relevant information，Gratis blood donors first to healthy check-up，And will be gathering on blood donors fast detection(ABO blood group、HB、ALT、HBsAg)。

　　采血后要进行检测，这些主要项目包括乙型肝炎病毒表面抗原(HBsAg)、丙型肝炎病毒抗体(HCV抗体)、人类免疫缺陷病毒抗体(HIV抗体)、梅毒螺旋体抗体、丙氨酸氨基转移酶(ALT)、ABO血型、RhD血型、血红蛋白测定、血常规测定(适用于机采成分献血)。

After testing shows to，These included the virus hepatitis b surface antigen(HBsAg)、Antibody of third hepatitis virus(HCV antibody)、The human immunodeficiency virus antibodies(HIV antibodies)、Syphilis helicoid antibodies、Alanine amino shift enzyme(ALT)、ABO blood group、RhD blood type、Determination of hemoglobin、Routine blood determination(Apply to machine components in their blood)。

　　但在各省市血液中心公开的信息中，并没有对这些检测项目的收费标准进行公开。这家三甲医院输血科内部人士将检测费进行了成本估算。其中，乙型肝炎病毒表面抗原(HBsAg)检测、丙型肝炎病毒抗体(HCV抗体)价格成本均在5元左右，人类免疫缺陷病毒抗体(HIV抗体)加上梅毒螺旋体抗体检测成本总共在4元钱左右，丙氨酸氨基转移酶(ALT)成本检测费用为3元—5元，ABO血型、RhD血型成本检测费用10元钱左右，血红蛋白测定、血常规测定(适用于机采成分献血)成本检测费用不超过15元。

But in all provinces and municipalities blood center in public information，And not to the project detection rate for public。The 3 armour hospital blood transfusion insiders will detect cost, cost estimates。Among them，Hepatitis b surface antigen virus(HBsAg)detection、Antibody of third hepatitis virus(HCV antibody)Prices are in 5 yuan cost，The human immunodeficiency virus antibodies(HIV antibodies)Plus syphilis helicoid antibody test at a total cost of 4 yuan about money，Alanine amino shift enzyme(ALT)Cost for 3 yuan for testing-5 yuan，ABO blood group、RhD blood type cost $10 for testing about money，Determination of hemoglobin、Routine blood determination(Apply to machine components in their blood)Cost no more than 15 yuan for testing。

　　9项检测项目按照这样的成本估算，一次检测的成本不足50元，而省血液中心要对各项目进行两次检测，加起来的检测成本在100元左右。有血液中心内部人员曾提出检测费用占血液成本的绝大比例。

9 the test items according to such cost estimation，One test costs less than 50 yuan，And to the provinces blood center project two detection，Add up the cost of testing in 100 yuan。Have blood center internal personnel once put blood testing costs accounted for most of the cost of proportion。

　　到底血液成本包括哪些部分，检测成本在血液成本中占多大比例，血液价格的降价空间还有多大？目前为止，各省市血液中心都没有公开这些信息，我们也无法得出准确数据。

Exactly which parts including blood cost，The cost of testing in what percentage of the cost of blood，The price of blood price and how much space？So far，The provinces and cities are not blood center public the information，We also can't draw accurate data。

　　“如果检测费占血液成本大头，那现在血液价格的降价空间还是有的。”这位内部人士说。

“If detect cost accounting for blood cost big head，Now the price of blood price cut space or some。”The source said。

疑问>>　血液分离成分血是否重复收费？ doubt>>Blood separation composition whether repeat charging for blood？

　　除了采血、检测的费用，血液在运输到医疗机构之前，还要由专业人员进行分离、保存。以400毫升全血为例，一般情况下都能分离出400毫升红细胞、200毫升血浆以及400毫升的冷沉淀。“分离出的红细胞、血浆、冷沉淀就是我们所说的成分血。”上述内部人士称，在临床上，鼓励患者使用成分血，使用率能占到99%左右。

In addition to picks、The cost of testing，Blood in the transportation to the medical institution before，Also by professional separation、save。In 400 ml of whole blood for example，Usually can be separated out 400 ml of red blood cells、200 ml of plasma and 400 ml of cold precipitation。“The separation of the red blood cells、plasma、Cold precipitation is what we call the component blood。”The above insiders say，In the clinical，Encourage patients use blood components，Utilization rate can account for 99% or so。

　　根据记者从济南这家省级三甲医院获得的信息，400毫升全血送到医疗机构的价格为540元，但分成三种成分血后的价格在千元以上，其中400毫升红细胞价格为520元，200毫升血浆的价格为200元，400毫升冷沉淀的价格为480元，加起来总共为1200元。当然，这些价格都是国家制定的，省血液中心只是负责执行。

According to the reporter from jinan the provincial 3 armour hospital of the information received，400 ml of whole blood to the price of the medical institution for 540 yuan，But divided into three components of the blood price is in one thousand yuan of above，400 ml of red blood cells price is 520 yuan，200 ml of plasma price is 200 yuan，The price of 400 ml cold precipitation is 480 yuan，Combined for 1200 yuan。Of course，These prices are formulated by the state，Province blood center just is responsible for the implementation。

　　“一袋血只检验一次，分离成三种成分血，这三种成分血各自的价格又是怎么来的呢？是不是各自还要收取检测费用？”陪妻子在济南住院治疗的刘先生质疑，如果真是这样，是否存在重复收费的情况？

“A bag of blood test only once，Separated into three components blood，The three components of their respective blood: and what price？Even collection is their testing costs？”With his wife in jinan hospitalization questioned Mr. Liu，If so，Whether there are repeated charges？

　　“国家制定血液成本的时候，相关的信息从来没有被详细公开过，如果公开这些信息，献血者心里明明白白的，也许就不会有那些关于血站靠无偿血牟利的说法了。”一位热心市民说。

“The state formulates the cost of blood，Relevant information has never been detailed public，If the public the information，Blood donors lifetimes in heart，Might not have those about blood stations by free blood that profit。”A keen citizens said。

　　记者了解到，对于储存环节，红细胞需要储存在2℃—6℃的冰箱内，血浆、冷沉淀需储存在-30℃的环境中，而血小板则需要在22℃环境下震荡保存。这个过程中所需的费用主要就是冰箱的价格、电费、房费、监控费等。 (记者 王倩 郭静)

The reporter understands，Link to store，Red blood cell to store in 2 ℃-6 ℃ in the refrigerator，plasma、Cold storage in-30 to precipitate ℃ environment，And it needs to be in the 22 ℃ platelet environment preservation concussion。The process of the cost of the price of the main is the refrigerator、electricity、rate、Monitoring fees。 (Reporter GuoJing wang qian)