Irving G
Department of Anaesthetics, Groote Schuur Hospital, Cape Town.
S Afr Med J. 1992 Nov;82(5):324-8.
A survey of the peri-operative policies for blood and blood component therapy was carried out among anaesthetists in the nine South African teaching hospitals. All anaesthetists completed the questionnaire, without recourse to books or discussion. The survey revealed a possible over-utilisation of blood and blood components in the peri-operative period. There were significant deficiencies in the pre-operative assessment of blood and platelet requirements and the specific indications for platelet, fresh frozen plasma and blood transfusions. A significant number of respondents exhibited poor knowledge of the potential dangers and expense that the use of blood and blood components entails. Educational effort was perceived to be the main method of rationalising the anaesthetist's usage of blood and blood components.
对南非九家教学医院的麻醉医生进行了一项围手术期血液及血液成分治疗政策的调查。所有麻醉医生均独立完成问卷，未参考书籍或进行讨论。调查显示围手术期可能存在血液及血液成分使用过度的情况。术前对血液和血小板需求以及血小板、新鲜冰冻血浆和输血的具体指征评估存在显著不足。相当数量的受访者对使用血液及血液成分所带来的潜在风险和费用了解甚少。教育措施被认为是使麻醉医生合理使用血液及血液成分的主要方法。
