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北京多家大医院缺血已成常态 患者无奈买血(图)

2015-11-02 08:54:36   新京报

来燕郊后,化疗使陈旺的血小板数量再次急剧下降,管床医生为他申请到了一次,再去申请,医生告诉他医院的血库已经空了,只能找人“互助献血”。陪床的母亲年事已高,不符合献血条件,他只能先扛着。

当时的检查结果显示,他的血小板数值已经降到了3,而正常人的该项指标在100到300之间。

10月10日凌晨,陈旺在起身上厕所时不慎跌倒,牙齿磕得晃动了,口腔里的血块止不住地往下掉。他和他的母亲都慌了,只能问病友要来“血头”的电话,花400元买了一个治疗量的血小板。

“我来治病的钱都是爱心人士捐献的,这个‘血头’的要价虽然已经比别人低了一点,但还是觉得这钱花得不应该。”陈旺说,以后要用血的时候还很多,如果都要靠买血来渡过难关,真不知道能撑多久。

面对“血荒”医院无奈

血液中心难满足医院用血,缺血成常态;有的医院一年有三四个月闹“血荒”

北京清华长庚医院医患办主任樊荣,曾是北京一家二甲医院的医务科主任,在他看来,缺血,已经是北京各大医院的常态。

他介绍,血液中心每年都会和医院签订用血计划书,会有总量的计划。但这也无法避免一些计划外的紧急用血。在北京,一些医院还有自己的采供血机构,哪怕如此,这些医院在需要紧急用血时还是会向血液中心求助。

“一般而言,临床有用血需求,医生会向医院血库写临床用血申请单,血库库存不足时,再向血液中心申请”,樊荣说,血液中心会根据库存情况进行派发,在大家都比较紧缺的情况下,可能会根据用血的紧急程度来决定谁优先,这时,一些慢性、消耗性用血可能就会靠后考虑。

北京某综合三甲医院血库负责人称,该医院每年闹“血荒”的时间会占到全年的三分之一到四分之一,夏天两个月、冬天两个月,而在“血荒”严重的时候,第一位先要保证一些情况紧急的患者用血,这时,大约会有三分之一的手术患者需要互助献血。

“缺血的不只是北京,整个中国都在缺”,燕郊陆道培血液肿瘤中心副主任童春容称,她所在的血液肿瘤中心从北京落户燕郊后,成了廊坊市血液中心的用血大户,血液中心超过一半的血都供给我们了,有时还会帮忙从外市调血,但相比需求还是远远不够。

她介绍,医院在降低输血标准后,还只有一半的病人能输上血,血小板则只能满足20%的需求,其余的部分都得由患者去自己互助献血。

“血不够用,仅有的公共血要分给谁?我们天天都在为这个事发愁。”童春容说,为了避免有人走关系,最后只能形成一个制度,由十几名主治医生轮流分配血液,医生根据所有用血申请的轻重缓急,将有限的公共血分配下去,并且还要将分配结果公布出来,接受大家的监督。

在不少医护人员眼中,互助献血成了缺血大背景下的无奈补充,一个“没有办法的办法”,哪怕这是一个有天然漏洞的办法:“亲友”的概念难以界定,患者找不到人互助,就只能花钱找“血头”介绍血源。

事实上,有“血头”通过互助献血卖血牟利已经不是秘密,有关部门一直在打击,但却难以杜绝。一位医生说,大家都知道“血头”的存在,也都痛恨赚这种钱的人,但患者不买没办法,他们只能“眼不见心不烦”。

责任编辑:赵逸 cn039
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