Blood Transfusion Department

The clinical blood transfusion work of the Blood Transfusion Department of Tianjin Medical University General Hospital began in 1946, and the Blood Transfusion Department was established in 1993.

Transfusion medicine itself is an interdisciplinary subject that integrates multiple disciplines. It has successively attracted outstanding graduates from biochemistry and molecular biology, clinical medicine, immunology, pathogenic biology, clinical laboratory diagnostics, pathology and other majors.

The Blood Transfusion Department currently has 19 technical staff, 14 with a master's degree or above, and 1 with a bachelor's degree, including 1 with a deputy senior professional title, 6 with intermediate professional titles, and 12 with junior professional titles.

The blood transfusion department currently has a blood distribution room, blood storage room, blood generation room, blood transfusion compatibility testing laboratory, duty room, health treatment room, conference room, etc., covering an area of ​​400 square meters.

The main instruments and equipment include 2 Johnson & Johnson AUTOVUE fully automatic blood type and blood matching analyzers, 1 BIO-RADIH1000 fully automatic blood type analyzer, 5 blood storage refrigerators, 10 blood storage freezers, and 1 specimen refrigerator. There are 2 reagent refrigerators, 1 platelet oscillator, 2 frozen plasma thawing boxes, 1 low-temperature operating table, 1 cold chain temperature control system, 2 specimen centrifuges, 3 special centrifuges for blood group serology, 3 microscopes, and 1 heat sealing machine.

The main functions of the Blood Transfusion Department are:

Formulate a reserve plan for clinical blood use, coordinate clinical blood use according to the hospital's blood inventory situation based on the blood station's early warning information, blood reservation, storage, storage, distribution, blood transfusion-related immune hematology testing, provide 24-hour blood for clinical operations, treatment and rescue in the hospital, establish a green channel for blood use, improve blood emergency plans, establish a clinical blood quality management system, guide clinical scientific use of blood, etc.

Blood components supplied for clinical use include:

Suspended red blood cells, washed red blood cells, machine-collected platelets, concentrated platelets, platelet-rich buffy coat, (fresh) frozen plasma, cryoprecipitate, rare blood products, etc.

The blood type serological experiments carried out include blood transfusion compatibility testing (ABO positive and negative typing, RhD blood type identification, cross-matching, and antibody screening tests).

Difficult blood type identification, difficult blood matching, and therapeutic blood transfusion techniques include autologous blood transfusion.

Since 2000, the Department of Blood Transfusion has actively promoted blood component transfusion, and now the hospital's blood component transfusion rate has reached the domestic advanced level. At the same time, it participates in the discussion of difficult cases and clinical consultation of blood transfusion cases in all clinical departments of the hospital. By vigorously carrying out scientific and reasonable blood conservation, promoting bloodless surgery, preoperative and intraoperative self-transfusion, etc., the per capita blood consumption and the blood volume per operation have been declining year by year.

After the blood transfusion information management system was successfully launched in 2015, it not only provided a strong guarantee for blood transfusion safety, but also provided the possibility for blood transfusion management. The hierarchical management of clinical blood applications, mandatory monitoring of blood transfusion indications, blood transfusion time, blood bag recovery, and adverse reaction reports of blood transfusions, and rationalized blood use are fully displayed in the system.

The department also undertakes the teaching work of advanced students, interns, and training doctors.

Establish a clinical blood use evaluation and publicity system for clinical departments and physicians, and conduct summary analysis and control of "excessive blood use" and "large amounts of blood use" to reduce the incidence of this type of blood use.

It has passed the laboratory quality evaluation of Tianjin Municipality and the Ministry of Health for many years in a row.

The main research directions and achievements of the Department of Blood Transfusion include: research on safe blood transfusion and blood immunology, research on the ineffective mechanism of platelet transfusion, and research on the preparation and methodology of indoor quality control products, etc.

He has published many papers in SCI, Chinese and core journals.

New technologies currently developed in the blood transfusion department include:

Cooperate with anesthesiology, surgery and other blood departments to carry out preoperative blood component separation and intraoperative blood recovery, leukocyte filtration technology, platelet antibody screening, RhD negative confirmation test, RhD negative maternal outpatient appointment blood preparation service.

Development direction and plan of the Department of Transfusion Science:

It is planned to establish a blood type serology laboratory with the main direction of "matching difficult blood types and difficult blood types" within five years. It will not only accept difficult specimens from Tianjin, but also target the whole country to expand its strength and influence. It plans to carry out autologous blood component apheresis treatment within 3 to 5 years, including stem cell collection, pure platelets, red blood cells, component removal, and lipid removal treatment for patients with granulocytosis.

It is planned to carry out prenatal and postpartum neonatal examinations for hemolytic disease of the newborn, make full use of the talent structure advantages of the Department of Blood Transfusion to promote the development of the discipline, actively carry out clinical scientific research and cooperation, and continuously improve scientific research strength.

For many years, the Department of Blood Transfusion has regarded "promoting blood donation knowledge, correcting misunderstandings about blood donation, and advocating free blood donation" as an important part of the work of the Department of Blood Transfusion and the work of the Party branch of the Department of Blood Transfusion Pathology. For many years, it has cooperated with the Tianjin Blood Center to carry out large-scale publicity activities in which blood donation vehicles were stationed in Tianjin Medical University General Hospital.

Blood transfusion safety is the eternal theme of the blood transfusion department. The blood transfusion department firmly establishes the awareness of "quality is life" and provides safe, timely and effective clinical services 24 hours a day.

We also provide consulting services on blood transfusions to patients and their families all year round.