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触目惊心的血荒利益链:一滴血能看见什么?

2016-04-27 MedSci MedSci原创

全国“血荒”,记者暗访 春节以来,全国多个地区的医院出现血荒,全国70多个大中城市,50多个供血不足,一些医院甚至因为缺血停掉了80%的手术,还有的患者一个月内手术被推迟了6次。就在各地缺血的背景下,一些“血贩子”却瞄准了法律法规的漏洞,把国家明令禁止买卖的血液当成商品出售。在江苏省苏州大学附属第一医院,山东卫视《调查》栏目记者经过半多月的暗访调查,摸清了一条由血


全国“血荒”,记者暗访

春节以来,全国多个地区的医院出现血荒,全国70多个大中城市,50多个供血不足,一些医院甚至因为缺血停掉了80%的手术,还有的患者一个月内手术被推迟了6次。就在各地缺血的背景下,一些“血贩子”却瞄准了法律法规的漏洞,把国家明令禁止买卖的血液当成商品出售。在江苏省苏州大学附属第一医院,山东卫视《调查》栏目记者经过半多月的暗访调查,摸清了一条由血贩子操纵的买血卖血的利益链条。

血贩子要价比医院高四五倍 

血贩子的报价,常常是血液中心的四五倍之高。

记者了解到的一个血贩子集团的收费标准是全血每200cc要1000元左右,两个单位的血小板是1200元,而记者在苏大一附院血库大厅看到,医院的收费标准为全血每200cc220元。两个单位血小板也就300元左右。血贩子的价格要比医院高出四五倍!

抢地盘靠血拼,老板年入百万

记者暗访血贩子买卖血液的流程。

记者调查发现,这里的血贩子长期聚集并在网上招募“献血人员”也就是卖血者,他们组织分工明确,还划分了各自的地盘,不过这地盘也不是轻而易举就得来的,很多都是拿着刀“血拼”出来的。一个小贩告诉记者,他们的地盘是去年他的老板拿刀从别人那里抢来的。一年下来,像他这样的小弟年收入能有一二十万,而他们老板年收入上百万。

血贩子网上招募卖血者。

明显的犯法,警察不管吗?

我国《献血法》明确规定:非法组织他人出卖血液的,可以并处十万元以下的罚款,构成犯罪的,依法追究刑事责任,我国《刑法》第三百三十三条也规定,对非法组织他人出卖血液的,处五年以下有期徒刑,并处罚金。

记者把这一情况反映给了苏州市红十字中心血站,但是血站工作人员表示,因为他们没有执法权,但他们管不了,这事应该是公安部门管,随后,记者又向血贩子所在的苏州市双塔派出所打去了电话,接电话的这名工作人员表示会马上派人过去,但一个小时过去了,血贩子们依旧在血站附近活动。当然,违法的事情,公安部门自然要管,2014年,一个血站工作人员与公安机关合作,一年抓了一百多个血贩,但他们多是无业人员,出了监狱,很容易操起老本行。

血贩和票贩,这黑锅都是医生背

普通老板姓能想到血荒背后的诸多原因吗?就像普通老板姓能接受票贩子背后的原因是因为医疗资源不平衡,制度的缺陷和个人就医理念有偏差吗?人们往往更愿意接受简单的,表面的原因:因为没有血,手术一直延期;紧急输血,还需要走一堆程序;血的价格这么贵,这些都是医生不好,医生黑心,医生勾结票贩子,医生勾结血贩子~~医生一方面着急病人的手术安排,惧怕术中大出血,一方面还要默默承受这种怨气,这黑锅,背起来真是压弯了腰。

还是那句话,有需求的地方就有市场

更何况,这还是必需品。

“在我们医院,80%以上的互助献血都是血贩子在操作。”北京某三甲医院的一位医生告诉《中国新闻周刊》。

血贩子干的是违法的活,但却帮到了一些人

对于血贩子,有些患者甚至有感激之情。在等待手术,甚至手术出血急救的时候,送来救命血液的不是医生,不是血液中心人员,而是血贩子。有些患者甚至到处托关系,都调不来血,因为血站是真的缺血。但是,这就如同票贩子、贩卖人体器官的行为一样,不能根本的解决困难,而且存在诸多安全和监管问题。

献血现状

用血紧张并不是中国独有的现象,国外也存在季节性缺血的问题。“但为什么只有中国压力这么大?”

卫计委的数据显示,2014年全国无偿献血率为9.5‰,而世界卫生组织指出,人口献血率达到10‰~30‰才能基本满足本国临床用血需求。而在发达国家,这一比例已经达到45.4‰。

如何应对?

破除“血荒”关键在于广开血源

加强监管、对“血贩子”进行严厉的常态化打击自然必不可少,但关键还是要通过广开血源保证供应。

目前仍有大量公民对献血常识不甚了解,进而缺乏献血积极性。对此,有关部门要进一步加大对无偿献血的宣传力度,为无偿献血创造便利条件,并给予献血者更多荣誉,用榜样的力量感染带动更多人;另一方面,血液募集是公益事业,其运作情况应透明公开,以消除民众疑虑、增强公信力、提升参与度。像“红十字会”事件对民众捐款的巨大影响一样,血站的

当踊跃献血成为一种社会常态,“血荒”自然会迎刃而解。

献血常见误区

误区1.献血可能传染疾病,比如乙肝或艾滋病

献血是输出的过程,只要针头是无菌的,怎么可能感染疾病?当然了,正规采供血机构,采血所用的针头及血袋是经过国家严格检测合格的一次性医疗耗材,血液的采集有严格的操作规程和要求。

误区2.献血无偿,用血却有偿?

血液的价格是由国家统一定价,全国都是一个价,血液的价格都是来自于血液的采集、检测、成分制备以及血液的保存、运输等等这些成本费用,不是血液的费用,血液是没有价格的。这就好比从江河水转变为可以饮用的自来水,这个过程会产生一定的费用一样。

误区3.献血会引起贫血

每次的献血量只占人体血液的极少部分,不影响人体血液的正常循环,献出的少量血液很快就会恢复、补充。献血间隔时期是6个月,按规定定期献血绝对不会引起贫血,相反,适量献血还能促进血液的再生。

误区4.人献血后会失去很多白细胞,免疫力会下降

从生理角度讲,构成人体免疫力的主要物质是白细胞。人体血液中红细胞占了较大比例,白细胞只是其中一部分。以一个健康成年人为例,一次献血200~400毫升,所捐献的白细胞仅仅是人体白细胞总数的1%~2%,失去的白细胞1~2小时就能从骨髓得到补充。献血后人体的代谢会加快,从一定角度上来讲是可以提高自身免疫力的。

误区5.直系亲属之间输血更能体现血脉亲情

直系亲属之间输血容易引发“输血相关性移植物抗宿主病”,这是输血最严重的并发症之一。多发生在小儿、晚期肿瘤病人、年老体弱病人身上,这些病人的免疫力低下,输了亲属血液发生该病的可能性大大增加,且死亡率超过90%。

误区6.献血要空腹

献血与医院做的生化检验不同,不需要空腹。相反,若空腹献血,人体血液中的葡萄糖含量较低,很可能会造成头晕等低血糖反应。为了保证献血者在献血时处于良好的生理状态,同时避免因大量进补引起血浆脂肪含量过高,献血者可以在献血前一天保持清淡饮食和充足睡眠。

误区7.献血会导致发胖

献血本身不会引起人体发胖。健康成年人在献血200~400毫升后不会引起身体不适,适当休息,补充营养也不会引起发胖。有些献血者认为自己血液损失过多,过分摄入,导致营养过剩,身体才会发胖。

误区8、献血后要好好进补,才能减少损害

就目前人们的生活水平、饮食结构和营养状况而言,健康成年人献血后完全不必进补各类营养品。

误区9、一滴精十滴血,献血也可能影响生育

影响生育能力的因素很多,除了与父母双方身体状况有关外,精神状态及生活工作环境因素也与之相关。但可以肯定的是,正常献血与生育影响没有直接关系。

误区10、献血和吸毒一样,会让人“上瘾”

献血不是吸烟,更不是吸毒,当然不会“上瘾”。献血后人体会以正常的速度再生血液,不会因血液“产生过多”而迫使献血者不停地献血,献血上瘾是没有科学依据的。大量科学证明,献血是有益健康的,适量献血有利于人体血液的新陈代谢。

编辑寄语:

说了这么多,还是希望有更多的人献血,更严格的监管,当衣物,食品等货品都堆积如山,供大于求的时候,血液这种生命必需品却成了稀缺之物,有什么值得炫耀的呢?

梅斯医学整理自齐鲁网 中国新闻周刊  中国广播网  

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    2016-09-16 1e10c84am36(暂无匿称)

    不错哦,会学到很多

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=128585, encodeId=ae65128585c9, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:49:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83272, encodeId=a217832e2f0, content=原来如此啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=188, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/22A0087C508319009C3494AF668D84F6/100, createdBy=3b061711895, createdName=南塘隐9d53fba6, createdTime=Fri Apr 29 09:52:00 CST 2016, time=2016-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83110, encodeId=8e8a83110fc, content=现状如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Wed Apr 27 22:13:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83094, encodeId=c88283094f1, content=只能叹息, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Wed Apr 27 18:22:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83089, encodeId=601f830893d, content=学习了一下新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Wed Apr 27 18:21:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83078, encodeId=1613830e8bc, content=唉”~~~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Wed Apr 27 16:00:00 CST 2016, time=2016-04-27, status=1, ipAttribution=)]
    2016-04-29 南塘隐9d53fba6

    原来如此啊

    0

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    2016-04-27 为何

    现状如此

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=128585, encodeId=ae65128585c9, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:49:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83272, encodeId=a217832e2f0, content=原来如此啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=188, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/22A0087C508319009C3494AF668D84F6/100, createdBy=3b061711895, createdName=南塘隐9d53fba6, createdTime=Fri Apr 29 09:52:00 CST 2016, time=2016-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83110, encodeId=8e8a83110fc, content=现状如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Wed Apr 27 22:13:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83094, encodeId=c88283094f1, content=只能叹息, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Wed Apr 27 18:22:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83089, encodeId=601f830893d, content=学习了一下新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Wed Apr 27 18:21:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83078, encodeId=1613830e8bc, content=唉”~~~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Wed Apr 27 16:00:00 CST 2016, time=2016-04-27, status=1, ipAttribution=)]
    2016-04-27 老段

    只能叹息

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=128585, encodeId=ae65128585c9, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:49:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83272, encodeId=a217832e2f0, content=原来如此啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=188, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/22A0087C508319009C3494AF668D84F6/100, createdBy=3b061711895, createdName=南塘隐9d53fba6, createdTime=Fri Apr 29 09:52:00 CST 2016, time=2016-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83110, encodeId=8e8a83110fc, content=现状如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Wed Apr 27 22:13:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83094, encodeId=c88283094f1, content=只能叹息, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Wed Apr 27 18:22:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83089, encodeId=601f830893d, content=学习了一下新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Wed Apr 27 18:21:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83078, encodeId=1613830e8bc, content=唉”~~~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Wed Apr 27 16:00:00 CST 2016, time=2016-04-27, status=1, ipAttribution=)]
    2016-04-27 1de11f7fm56(暂无匿称)

    学习了一下新知识

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=128585, encodeId=ae65128585c9, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 11:49:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83272, encodeId=a217832e2f0, content=原来如此啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=188, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/101296147/22A0087C508319009C3494AF668D84F6/100, createdBy=3b061711895, createdName=南塘隐9d53fba6, createdTime=Fri Apr 29 09:52:00 CST 2016, time=2016-04-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83110, encodeId=8e8a83110fc, content=现状如此, beContent=null, objectType=article, channel=null, level=null, likeNumber=160, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2a951716657, createdName=为何, createdTime=Wed Apr 27 22:13:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83094, encodeId=c88283094f1, content=只能叹息, beContent=null, objectType=article, channel=null, level=null, likeNumber=157, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2d331664955, createdName=老段, createdTime=Wed Apr 27 18:22:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83089, encodeId=601f830893d, content=学习了一下新知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6b0d1671629, createdName=1de11f7fm56(暂无匿称), createdTime=Wed Apr 27 18:21:00 CST 2016, time=2016-04-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83078, encodeId=1613830e8bc, content=唉”~~~, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=d0921674448, createdName=gyczyxy, createdTime=Wed Apr 27 16:00:00 CST 2016, time=2016-04-27, status=1, ipAttribution=)]
    2016-04-27 gyczyxy

    唉”~~~

    0

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