Patel Manish S, Carson Jeffrey L
Department of Medicine, Division of General Internal Medicine, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ 08903, USA.
Anesthesiol Clin. 2009 Dec;27(4):751-60. doi: 10.1016/j.anclin.2009.09.009.
Anemia is commonly encountered in the preoperative patient. Determination of the cause of the anemia can affect perioperative surgical and medical management and outcome. Red blood cell transfusions are often administered during the perioperative time period in patients with preoperative anemia, although evidence to support the optimal transfusion threshold is limited. The authors review the evaluation of anemia and evidence regarding perioperative blood transfusions. Recommendations on the treatment of anemia, including perioperative blood transfusions, are outlined.
贫血在术前患者中很常见。确定贫血的原因会影响围手术期的外科和内科管理及预后。术前贫血患者在围手术期常接受红细胞输血，尽管支持最佳输血阈值的证据有限。作者回顾了贫血的评估及围手术期输血的相关证据。概述了关于贫血治疗的建议，包括围手术期输血。
