Devi Allanki Surekha
Department of Transfusion Medicine, Global Hospitals, Hyderabad - 500 004, India.
Indian J Crit Care Med. 2009 Jul-Sep;13(3):120-8. doi: 10.4103/0972-5229.58536.
Liver transplant procedures require the most blood components, despite the fact that blood use in liver transplantation has declined dramatically over the last decade. Liver transplant recipients present unique challenges, not only in terms of blood supply, but also requirements for specialized blood components, serologic problems, and immunologic effects of transfusion on both the allograft and the recipient. The cause of intraoperative blood loss in liver transplantation is multifactorial, due to both technical factors and poor coagulation control. This procedure carries the risk of massive blood loss, which requires massive transfusions and is associated with postoperative infections, reduced graft survival, multi-organ dysfunction, and higher risk of mortality. Efforts to reduce intraoperative bleeding leading to limitation of blood transfusions are desirable to improve results and also to control costs. Method of literature search: The name of topic is typed and searched in Google search. The name of topic is typed and searched in PubMed search. Related articles were also searched. Some standard books in Transfusion Medicine were also referred.
肝移植手术需要最多的血液成分，尽管在过去十年中肝移植中的用血情况已大幅下降。肝移植受者面临着独特的挑战，不仅在血液供应方面，而且在特殊血液成分的需求、血清学问题以及输血对同种异体移植物和受者的免疫影响方面。肝移植术中失血的原因是多因素的，既包括技术因素，也包括凝血控制不佳。该手术存在大量失血的风险，这需要大量输血，并且与术后感染、移植物存活率降低、多器官功能障碍以及更高的死亡风险相关。减少术中出血以限制输血的努力对于改善结果以及控制成本都是可取的。文献检索方法：在谷歌搜索中输入并搜索主题名称。在PubMed搜索中输入并搜索主题名称。还搜索了相关文章。也参考了输血医学方面的一些标准书籍。
