摘要
随着现代输血理论与技术的革新,围术期输血越来越受到人们的广泛关注。手术患者因其特殊的病理生理状态,又因手术、失血以及疼痛等刺激,使输血带来的风险在围术期显得尤为突出。异体输血作为血液输注的主流,给患者带来益处的同时,也存在诸多危害,且临床上血源的紧张状态,也直接影响了患者的治疗效果。因此,麻醉医师与临床医师如何规范用血,严格掌握输血指征,进而提高手术科室用血的合理性,对于减少输血不良反应的发生以及避免血液的浪费具有重要临床意义。
With the development of modern transfusion theory and technology, perioperative blood transfusion has been paid more and more attention. Because of the special pathophysiology, operation, blood loss and pain stimulation, the risk of blood transfusion is especially prominent during perioperative period. As the mainstream of blood transfusion, allogeneic blood transfusion has brought benefits to patients, but it also has many hazards. Moreover, the tension of blood supply in clinic has a direct impact on the treatment of patients. Therefore, regulation of blood use, strict control of blood transfusion indications to improve the rationality of blood usage in the surgical department by the anesthesiologists and clinicians ,have great clinical significance to reduce the incidence of adverse reaction of blood transfusion and avoid blood waste.
作者
刘小倩
朱娜娜
周循
郭建荣
LIU Xiaoqian ZHU Nana ZHOU Xun GUO Jianrong.(Department of Anesthesiology, Gongli Hospital Affiliated to the Second Military Medical University, Shanghai 200135, China)
出处
《医学综述》
2017年第18期3615-3619,共5页
Medical Recapitulate
基金
上海市浦东新区卫生系统领先人才项目(PWR12013-03)
上海市浦东新区科技发展基金(PKJ2012-Y54)
上海市浦东新区卫生系统重点学科群建设项目(PWZxq2014-06)
关键词
输血
合理性
围术期
手术科室
Blood transfusion
Rationality
Perioperative period
Surgical department
