1. In order to ensure the quality of blood for medical use and the health and examination of blood donors, blood donors must undergo physical examination and blood test before each blood donation, and the blood donated must be tested according to the specified items.
2. The physical examination and blood test of blood donors before donating blood shall be subject to the blood station results, valid for two weeks.
3. Blood donors should fill in the "Blood Donation Registration Form" and "Health Inquiry Form" before donating blood (see attached table).
4. Non-designated blood donors only undergo physical examination and fill in the health inquiry form (see attached table).
5. The first recheck of blood test of blood donors shall not use reagents produced by the same reagent factory, and the first recheck of the same specimen shall not be conducted by the same person.
Second, the standard of blood donors' physical examination
1. Age: 18-55 years old. Note: It refers to the age of people who participate in blood donation advocated by the Blood Donation Law, but it is not the age standard that restricts blood donation.
2. Weight: male ≥ 50kg, female ≥ 45kg.
3. Blood pressure: 12-20/8- 12Kpa, pulse pressure: ≥4Kpa. Or: 90- 140/60-90mmHg, pulse pressure difference: ≥30mmHg.
4. Pulse: 60- 100 beats/min, and high endurance athletes ≥50 beats/min.
5. The temperature is normal.
6. The skin has no yellow staining, no wound infection, no extensive dermatosis and no obvious swelling of superficial lymph nodes.
7. There is no serious disease in the five senses, no yellow staining in the sclera and no goiter in the thyroid gland.
8 limbs without serious disability, no serious dysfunction, no redness and swelling of joints.
9. Chest: the heart and lungs are normal (the physiological murmur of the heart can be regarded as normal).
10. Abdomen: The abdomen is flat and soft, without lump, tenderness and hepatosplenomegaly.
Third, blood test standards for blood donors
1. Blood group: ABO blood group (positive and negative typing). Rho(D) blood group was determined in conditional areas and areas with high Rh negative rate.
2. Screening of specific gravity of blood: male ≥ 1.052 female ≥ 1.050, using sulfuric acid ketone method or colorimetry.
3. Alanine aminotransferase ketone body powder method: negative, or Lai method: less than or equal to 25.
4. Hepatitis B virus surface antigen (HBsAg) enzyme labeling method: negative (rapid diagnosis method is limited to the initial detection of non-fixed blood sampling points).
5. Hepatitis C virus antibody (HCV antibody) enzyme labeling method: negative.
6.HIV antibody (HIV antibody) enzyme labeling method: negative.
7. Syphilis test RPR method or TRUST method: negative.
8. Re-check the above items 1, 3, 4, 5, 6 and 7.
9. One year after the clinical cure of hepatitis A, you can participate in blood donation for three consecutive times, with an interval of one month (subject to the clinical report).
10. Detection of Plasmodium in malaria-prone areas.
Four, the provisions of immunization after blood donation
1. Give blood two weeks after the last immunization with live measles, mumps, yellow fever and polio vaccine, or four weeks after the last immunization with live rubella vaccine and rabies vaccine; After being bitten by rabies, you can donate blood one year after the last rabies vaccine.
2. People who receive animal serum can donate blood four weeks after the last injection.
3. Healthy people who receive hepatitis B vaccine and hepatitis A vaccine need not delay blood donation.
Five, one of the following circumstances is temporarily unable to donate blood.
1. Tooth extraction or other minor operations within half a month.
2. Three days before and after menstruation, less than six months after pregnancy and abortion, and less than one year after childbirth and breastfeeding.
3. Those who have recovered from cold and acute gastroenteritis for less than a week, acute urinary tract infection for less than a month, and pneumonia for less than three months.
4. Some infectious cases: for example, dysentery recovered less than half a year, typhoid fever recovered less than one year, brucellosis recovered less than two years, and malaria recovered less than three years.
5. Transfusion of whole blood and blood component in recent five years.
6. Less than half a year after major surgery, less than three months after appendectomy, hernia repair and tonsillectomy.
7. Less than one week after the local inflammation of the skin healed, and less than two weeks after the extensive inflammation healed.
Six, one of the following circumstances can not donate blood.
1. STD, leprosy and AIDS patients and HIV-infected people.
2. Hepatitis patients, hepatitis B surface antigen positive, hepatitis C antibody positive.
3. Patients with allergic diseases and recurrent allergies, such as recurrent urticaria, bronchial asthma and drug allergy (blood donation is not allowed for simple urticaria during acute attack).
4. Various tuberculosis patients, such as tuberculosis, renal tuberculosis, lymphoid tuberculosis, bone tuberculosis, etc.
5. Patients with cardiovascular diseases, such as various heart diseases, hypertension, hypotension, myocarditis and thrombophlebitis.
6. Patients with respiratory diseases, such as chronic bronchitis, emphysema, bronchiectasis with pulmonary insufficiency.
7. Patients with digestive system and urinary system diseases, such as severe gastric and duodenal ulcer, chronic gastroenteritis, acute and chronic nephritis, chronic urinary tract infection, nephrotic syndrome, chronic pancreatitis, etc.
8. Patients with hematological diseases, such as anemia, leukemia, polycythemia vera and various bleeding and coagulation diseases.
9. Patients with endocrine diseases or metabolic disorders, such as pituitary and adrenal diseases, hyperthyroidism, acromegaly, diabetes insipidus, diabetes, etc.
10. Patients with organic nervous system diseases or psychosis, such as encephalitis, sequelae of brain trauma, epilepsy, schizophrenia, hysteria, severe neurasthenia, etc.
1 1. Patients with parasitic diseases and endemic diseases such as kala-azar, schistosomiasis, filariasis, ichthyosis, cysticercosis, paragonimiasis, Keshan disease and Kaschin-Beck disease.
12. Patients with various malignant tumors and benign tumors that affect their health.
13. Those who have undergone resection of important organs such as stomach, kidney and spleen.
14. Patients with chronic skin diseases, especially infectious, allergic and inflammatory systemic skin diseases, such as favus, generalized eczema and systemic psoriasis.
15. Patients with ocular diseases such as keratitis, iritis, optic neuritis, high myopia, etc.
16. autoimmune diseases and collagen diseases such as systemic lupus erythematosus, dermatomyositis and scleroderma.
17. People with a history of drug abuse.
18. Homosexuals and multiple sexual partners. (From July 20 12, the new "Requirements for Health Examination of Blood Donors" was officially implemented, and the Ministry of Health of China lifted the 14 ban: lesbians were not allowed to donate blood. )
19. Patients with other diseases that the physical examination doctor thinks cannot donate blood.
This standard is from 1998 10 10 month17 February 1993, Annex 2 "Health Examination Standard for Blood Donors" of the Notice on Issuing Basic Standards for Blood Stations (No.2 Wei [1993]).
Add:
Health examination standards for blood donors shall be formulated by the health administrative department of the State Council.