Fuller Andrea J, Bucklin Brenda A
Department of Anesthesiology, University of Colorado at Denver Health Sciences Center, Aurora, Colorado, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):196-208. doi: 10.1097/GRF.0b013e3181cc42a0.
Hemorrhage requiring blood transfusion is a common occurrence in obstetrics. This article reviews each step in the transfusion process, including laboratory preparation of blood, indications for various blood components, complications of blood transfusion, massive transfusion, and alternatives to homologous blood. Current thinking regarding transfusion-related acute lung injury, transfusion-related immunomodulation, early use of plasma for massive transfusion, and the use of adjuvant agents such as activated recombinant factor VII are also discussed.
需要输血的出血情况在产科中很常见。本文回顾了输血过程中的每一个步骤，包括血液的实验室准备、各种血液成分的适应证、输血并发症、大量输血以及同源血的替代物。还讨论了关于输血相关急性肺损伤、输血相关免疫调节、大量输血时早期使用血浆以及使用诸如活化重组因子VII等辅助药物的当前观点。
