Chinese Medical Sciences Journaldoi: 10.24920/004035

• 特别报道 • 上一篇    下一篇

患者血液管理:阜外医院单中心证据和实践

姚允泰1*, 袁昕2, 何丽仙1, 于宜平1, 杜雨3, 刘刚4, 田丽娟1, 马祖轩5, 张永保6, 马洁7
  

  1. 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院, 1麻醉中心, 2成人心脏外科
    中心, 3成人术后恢复室, 4体外循环中心, 5输血科, 6血管中心, 7药剂科

  • 收稿日期:2021-11-01 接受日期:2022-01-06 出版日期:2022-01-26 发布日期:2022-01-26
  • 通讯作者: 姚允泰 E-mail:yuntaiyao@126.com

Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital

Yuntai Yao1*, Xin Yuan2, Lixian He1, YipingYu1, Yu Du3, Gang Liu4, Lijuan Tian1, Zuxuan Ma5, Yongbao Zhang6, Jie Ma7   

  1. 1.Department of Anesthesiology, 2.Department of Adult Cardiac Surgery, 3.Department of Surgical Intensive Care Unit, 4.Department of Cardiopulmonary Bypass, 5.Department of Transfusion, 6.Department of Vascular Surgery, 7.Department of Pharmacy; Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China
  • Received:2021-11-01 Accepted:2022-01-06 Published:2022-01-26 Online:2022-01-26
  • Contact: Yuntai Yao,MD E-mail:yuntaiyao@126.com

摘要: 失血和输血是心血管外科及心血管麻醉的重要质控指标。患者血液管理(patient blood management, PBM)意指:基于循证医学证据对可能接受输血治疗的患者开展的包括贫血干预、血液稀释、血液回收、凝血管理等在内的多学科协作诊疗, 以期尽可能减少血制品输注和改善患者预后。 心血管外科开展PBM需心脏外科医生、血管外科医生、麻醉科医生、体外循环科医生、危重症科医生和其他医务工作者的团队合作。本文着重介绍了阜外医院PBM的证据和实践。同单位开展PBM时,还需结合自身情况(相关资源的可获得性、不同设备及技术的费效比)

关键词: 出血, 输血, 心血管手术, 麻醉

Abstract: Blood loss and blood transfusion requirement are important quality control indicators of cardiovascular surgery and cardiovascular anesthesia. Patient blood management PBM) is an evidence-based, multidisciplinary approach to optimize the care of patients who might need transfusion, which encompasses anemia management, hemodilution, cell salvage, hemostatic treatment and other approaches to reduce bleeding as well as restriction of blood transfusion. PBM in cardiovascular surgery is a “team sport” which involves cardiac and vascular surgeons, anesthesiologists, perfusionist, intensivists, and other health care providers. The current work provides an overview of evidence and practice of PBM at Fuwai Hospital. Implementation of PBM should also take local resource availability and cost-effectiveness of different devices, drugs, technologies, and techniques into consideration.

Key words: bleeding, transfusion, cardiovascular surgery, anesthesia

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