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从低危人群中筛选献血者
[ 2011-1-7 10:34:00 | By:
杨远锋
]
现代输血医学的一个重要标志就是安全输血，而安全输血的重要前提即是要提供来自于低危献血人群、并经采供血机构严格筛检和加工处理的安全血源。尽管目前已具备的病原体检测和灭活技术可基本筛除绝大多数受感染血液中的病原体，但限于技术水平，目前还不可能使所有的经血传播病原体得到有效的筛查或清除。因此如果能从源头入手，确保血液来自身体健康的献血者，那么在保证血液质量和安全输血上就能起到“事半功倍”的效果。
世界卫生组织（WHO）提出的血液安全综合战略即是强调从低危献血者中采集较安全的血液。而所谓低危献血者是指传播输血传染病危险性低的献血者，也就是那些接触输血传染病风险很小的献血者。固定的志愿无偿献血者经过多次输血相关传染病的筛选，因而被认为是低危献血者。献血者筛选的根本目标就是要挑选出低危或接近低危的献血者，以保障血源安全。
筛选合格献血者的工作程序主要包括三个部分：一是献血前咨询，二是献血者填写健康状况征询表，三是献血者健康检查。前二部分主要是献血者的自我排查，后一部分是对献血者在技术上的强制筛选。
献血前咨询主要是通过有效的宣传教育告诉潜在的献血者有关献血的健康条件和有危险行为不能献血的原因，让献血者自我确认是否属于低危献血人群。对于明知道不适合献血 （特别是集体献血时）而不愿退出者，血站将采取保密性弃血措施。健康检查是指通过前来献血人员的自身排查和采供血工作人员的快速判断，对符合献血条件的人员进行的简单的体检和血液初筛化验。当然，献血前咨询最重要的一点是献血者必须如实向招募者告知自己的实际情况，不得隐瞒病史和自己的不良生活史。血站也会为每个前来献血的人员保密，除非本人，血站不会向任何人透露献血者的有关信息。经过献血前咨询、病史询问、体格检查和血液检测这几个环节的筛选，采血机构可以最大限度的排除有危险行为的献血者及健康状况不佳或检查不合格的献血者，把好血液安全的第一关。
低危献血者的筛选是采供血工作的第一步，也是血液安全的源头工程。此项工作未做好，势必会影响到以后各项工作的效果并降低血液的总体安全水平。采血前的献血者筛选，既体现了血站对志愿无偿献血者高度负责的态度，又降低了血液的报废率，节约了宝贵的医疗资源，同时提高了输血的安全系数。因此，从某种意义上说，筛选合格献血者的重要性甚至要高于采血后的检验过程及临床输血过程。
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[
2016-9-6 16:35:25
| By:
原创(游客)
]
http://njryw2017.lofter.com/post/1e5a85e5_c3ea4fc http://njryw2017.lofter.com/post/1e5a85e5_c3ea4fb http://njryw2017.lofter.com/post/1e5a85e5_c3ea4fa http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f9 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f8 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f7 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f6 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f5 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f4 http://njryw2017.lofter.com/post/1e5a85e5_c3ea4f3
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2016-9-28 16:09:03
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http://bjseoywj.lofter.com/post/1e66bf3e_c711361 http://ywjseo.lofter.com/post/1e634752_c64ffcc http://wztgywj.lofter.com/post/1e65f473_c6ed10d http://seogsywj.lofter.com/post/1e634756_c6de5dc http://ywjseo.lofter.com/post/1e634752_c64f0d6 http://wztgywj.lofter.com/post/1e65f473_c6edd9a http://seogsywj.lofter.com/post/1e634756_c6df22c http://seogsywj.lofter.com/post/1e634756_c6ddd5f http://ywjseo.lofter.com/post/1e634752_c64fc49 http://wztgywj.lofter.com/post/1e65f473_c6edced
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2016-9-30 10:44:15
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http://rywydx.lofter.com/post/1e6a68e3_c80f7ed http://njryw168.lofter.com/post/1e6983e5_c7f08ee http://rywywj.lofter.com/post/1e6a80c3_c82116b http://rywkdks.lofter.com/post/1e698063_c7fa951 http://njryw168.lofter.com/post/1e6983e5_c7eee74 http://rywydx.lofter.com/post/1e6a68e3_c80c710 http://rywywj.lofter.com/post/1e6a80c3_c824406 http://njryw168.lofter.com/post/1e6983e5_c7eff7f http://njryw168.lofter.com/post/1e6983e5_c7ed799 http://njryw168.lofter.com/post/1e6983e5_c7ee16b
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Re:在漫画中识别身边的违章
[
2016-10-7 23:58:43
| By:
txbfj(游客)
]
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Re:在漫画中识别身边的违章
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2016-10-8 19:26:00
| By:
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Re:在漫画中识别身边的违章
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2016-10-10 3:03:49
| By:
jmqtv(游客)
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Re:在漫画中识别身边的违章
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2016-10-13 15:20:15
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Re:在漫画中识别身边的违章
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2016-10-13 16:45:02
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Re:在漫画中识别身边的违章
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2016-10-14 15:15:17
| By:
gfvwa(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-15 22:23:11
| By:
zegko(游客)
]
http://qqgame.gamebbs.qq.com/forum.php?mod=viewthread&tid=59479387
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Re:在漫画中识别身边的违章
[
2016-10-16 2:03:03
| By:
ljbdh(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-17 22:28:51
| By:
ohjot(游客)
]
http://www.jxedt.com/wen/quzheng/3171220300770770998.html
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Re:在漫画中识别身边的违章
[
2016-10-18 1:44:05
| By:
qvacy(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-18 7:54:13
| By:
mptya(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-20 12:36:49
| By:
dhmos(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-21 14:53:47
| By:
awnru(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-21 15:01:29
| By:
mvkor(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-21 15:39:06
| By:
iskmp(游客)
]
http://www.esafety.cn/blog/wll/73171/archives/2011/106456.html
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Re:在漫画中识别身边的违章
[
2016-10-22 12:29:52
| By:
hrgil(游客)
]
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Re:在漫画中识别身边的违章
[
2016-10-23 15:49:56
| By:
ulaeh(游客)
]
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Re:在漫画中识别身边的违章
[
2017-2-18 17:02:23
| By:
lkabf(游客)
]
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Re:在漫画中识别身边的违章
[
2017-3-4 15:20:05
| By:
rqgil(游客)
]
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Re:在漫画中识别身边的违章
[
2017-3-4 15:43:39
| By:
ptyae(游客)
]
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