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患者血液管理：阜外医院单中心证据和实践
- Affiliations：
1. 1Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
2. 2Department of Adult Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
3. 3Department of Surgical Intensive Care Unit, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
4. 4Department of Cardiopulmonary Bypass, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
5. 5Department of Transfusion, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
6. 6Department of Vascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
7. 7Department of Pharmacy Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China
- Author bio：
*姚允泰 yuntaiyao@126.com
- Funds：
DOI：10.24920/004035
中图分类号：收稿日期：2021-11-01，
录用日期：2022-1-6，
网络出版日期：2022-01-26，
纸质出版日期：2022-09-30
- Accepted：
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姚允泰, 袁昕, 何丽仙, 等. 患者血液管理：阜外医院单中心证据和实践[J]. 中国医学科学杂志（英文版）, 2022,37(3):246-260.
Yuntai Yao, Xin Yuan, Lixian He, et al. Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital[J]. Chinese medical sciences journal, 2022, 37(3): 246-260.
姚允泰, 袁昕, 何丽仙, 等. 患者血液管理：阜外医院单中心证据和实践[J]. 中国医学科学杂志（英文版）, 2022,37(3):246-260. DOI： 10.24920/004035.
Yuntai Yao, Xin Yuan, Lixian He, et al. Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital[J]. Chinese medical sciences journal, 2022, 37(3): 246-260. DOI： 10.24920/004035.
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）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。临床在开展PBM时
需考虑机构的资源情况
包括设备、技术、药品、技能的可获得性以及花费效益比。
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 optimizing the care of patients who may need transfusion
which encompasses anemia management
hemodilution
cell salvage
hemostatic treatment
and other approaches to reducing bleeding and minimizing blood transfusion. PBM in cardiovascular surgery is a “team sport” that 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.
关键词
Keywords
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