围手术期输血：异体输血和自体输血以及药物制剂的作用。

Perioperative blood transfusion: the role of allogenous and autologous transfusions, and pharmacological agents.

作者信息

Chimutengwende-Gordon Mukai, Khan Wasim S, Maruthainar Nimalan

机构信息

University College London Institute of Orthopaedic and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore.

出版信息

J Perioper Pract. 2010 Aug;20(8):283-7. doi: 10.1177/175045891002000803.

DOI:10.1177/175045891002000803

PMID:20860188

Abstract

The decision to transfuse patients perioperatively is made on an individual basis and should consider factors such as duration and severity of anaemia, symptoms, physiological parameters and comorbidities. Autologous blood transfusion has the benefit of avoiding some of the immunological and infective complications associated with allogenic blood transfusion. Pharmacological agents as well as anaesthetic and surgical techniques have a role in avoiding the need for blood transfusion.

摘要

围手术期给患者输血的决定应因人而异，且应考虑贫血的持续时间和严重程度、症状、生理参数及合并症等因素。自体输血的好处是可避免一些与异体输血相关的免疫和感染并发症。药物以及麻醉和手术技术在避免输血需求方面发挥着作用。