中新网南京1月20日电 (盛捷)“虽然我国的无偿献血事业已经得到了全社会的广泛理解和支持，但是但江苏和全国许多城市一样，临床用血需求量不断增长，甚至发展到常态化‘血荒’”20日，江苏省政协委员，苏州大学附属第一医院神经外科副主任周幽心在谈及医疗用血紧张时如是说。周幽心建议可以推广和鼓励自体输血来缓解“血荒”

Beijing on January twenty - nanjing (ChengJie)"Although China's voluntary blood donation career has been the whole society wide understanding and support,But as jiangsu and many cities across the country,Growing demand for clinical use,Even to normalization‘Blood shortage’"Twenty days,Jiangsu province political consultative conference (CPPCC),Suzhou university affiliated hospital neurosurgery, deputy director of the first week in quiet heart about medical use, nervous.Weeks quiet heart Suggestions can promote and encourage autologous blood transfusion to ease"Blood shortage"

　　周幽心认为，之所以出现用血紧张的状况，究其原因是政府、卫生管理部门领导往往把解决问题聚焦在《中华人民共和国献血法》中第七条国家鼓励国家工作人员、现役军人和高等学校在校学生率先献血，以及第十五条中为保障公民临床急救用血的需要，国家提倡动员家庭、亲友、所在单位以及社会互助献血。

Weeks you heart think,The emergence of the tension in blood,Investigate its reason is the government/Health management department leaders tend to focus on problem solving[Broaden of the People's Republic of China]Article 7 the state encourages state functionaries/Active duty soldiers and students in institutions of higher learning to take the lead in blood donation,And article 15 to protect citizens in clinical emergency blood needs,The state encourages mobilization family/Relatives and friends/Place unit and social mutual blood donation.

　　“严重忽视了《献血法》第十五条中国家提倡并指导择期手术的患者自身储血，和第十六条中，国家鼓励临床用血新技术的研究和推广”，周幽心说。

"ignored[broaden]Article 15 the state advocates and guidance of the patient's own ChuXie elective surgical procedures,And the article 16,The state encourages the clinical use of new technology research and promotion",Weeks quiet heart said.

　　对于解决血液紧张的问题，周幽心觉得，在大力推进无偿献血，通过宣传发动，稳定和扩大无偿献血者队伍的同时，政府和医疗卫生机构应对外科手术有血，大力推广和激励自体输血，才能有效缓解用血紧张。

To solve the problem of blood nervous,Weeks you heart feel,In vigorously promote voluntary blood donation,Through the propaganda launch,Stable and expanding voluntary blood donors team at the same time,The government and the medical and health institutions to surgical blood,Promoting and incentive autologous blood transfusion,Can effectively relieve tension blood.

　　据了解，自体输血就是病人需要输血时，输入病人自己预先储存的血液或失血回收的血液，主要包括术前自体储血和术中血液回收式自体输血二种。

It is understood,Autologous blood transfusion is the patient needs a blood transfusion,Input the patient himself prior stored blood or blood loss recovery of blood,Mainly including preoperative and intraoperative autologous ChuXie blood recovery type two kinds of autologous blood transfusion.

　　周幽心指出，自体输血的最大优点是不需检测血型和做交叉配合试验，可减少输血反应的发生，还可在一定程度上防止经血液传播疾病(如肝炎、艾滋病、梅毒、疟疾等)，至少可减少医院1/4—1/3的异体血用量，有助于缓解我省用血紧张的状况，也可减少患者医疗经费开支。

Weeks quiet heart pointed out that,Autologous blood transfusion the biggest advantage is not to check blood type and cross fit test,Can reduce the occurrence of transfusion reaction,Still can be in a certain extent prevent the blood transmitted diseases(Such as hepatitis/AIDS/syphilis/malaria),At least can reduce hospital 1/4 - a third of the foreign blood dosage,Help to ease the tension in the condition of blood,Also can reduce the patients medical funding.

　　“自体输血优点突出，技术非常成熟，而且在发达国家已占输血总量的20%—40%，在澳大利亚和美国甚至更高达到80%，然而，在中国却并不受欢迎”周幽心指出，在江苏省三甲医院术中血液回收已经开展，但数量上远远不够。

"Autologous blood transfusion advantage,Technology is very mature,And in the developed countries have accounted for 20% of the total blood transfusion - 40%,In Australia and the United States even higher up to 80%,however,In China is not popular"Weeks quiet heart pointed out that,In jiangsu province hospital intraoperative blood recovery have been conducted,But the quantity is far from enough.

　　对于自体输血在中国不受“待见”，周幽心认为，主要原因是目前的医保政策中还没有把自体输血完全纳入报销范畴，患者自然不乐意；另外，异体输血出了问题主要责任在血站，自体输血出了问题医院自己扛，而且收费价格不合理，医院也没了积极性。

For autologous blood transfusion in China do not suffer"like",Weeks you heart think,The main reason is that the current medical insurance policy had not put autologous blood transfusion completely into the category of reimbursement,Patients to nature;In addition,Allogeneic transfusion wrong major responsibility in blood stations,Autologous blood transfusion wrong hospital his shoulder,And charge price is not reasonable,The hospital has not also had enthusiasm.

　　“政府鼓励患者选择自体输血，激励医疗机构提倡自体输血。如把费用(包括耗材)全部或80%以上纳入医保中，还要提高自体输血医疗项目收费价格，给医院一定利润空间”，周幽心首先从政府政策的角度提出建议。

"The government encourage patients to choose autologous blood transfusion,Incentive medical institutions advocate autologous blood transfusion.Such as the cost(Including consumables)All or more than 80% into the medical insurance,To improve the autologous blood transfusion health program fee price,To the hospital must profit space",Weeks quiet heart first from the point of view of government policy Suggestions.

　　从卫生行政部门来讲，要促进自体输血，周幽心建议卫生部门以后对自体输血也纳入到对三级医院的考评中，同时要规范自体输血技术和专业人员的培训，做到科学、合理、安全地开展自体储血和术中血液回收式自体输血。

Will tell from the administrative department of public health,In order to promote the autologous blood transfusion,Weeks quiet heart Suggestions after the health department of autologous blood transfusion also into to tertiary hospital in the assessment,At the same time to regulate autologous blood transfusion technology and professional training,Do science/reasonable/Safely carry out self ChuXie and intraoperative blood recovery type autologous blood transfusion.

　　最后从医务人员角度，周幽心认为，医务人员应主动开展自体输血、并切实保证血液质量安全，医务人员不但要成为自体输血的组织者，同时也要成为自体输血的宣传者。同样，自体输血同样要强化安全意识，建立健全质量管理体系，完善操作规程，严格环节控制。(完)

From the Angle of the medical staff,Weeks you heart think,The medical staff should actively carry out autologous blood transfusion/And to guarantee the quality of blood safety,Medical staff not only to become the organizers of the autologous blood transfusion,At the same time also to be autologous blood transfusion communicator.The same,Autologous blood transfusion also must strengthen the safety consciousness,Establish and improve the quality management system,Perfect operation procedures,Strict link control.(finish)