Department of Cardiothoracic Surgery, The Mount Sinai Medical Center, Mount Sinai School of Medicine, New York, New York 10029, USA.
Semin Thorac Cardiovasc Surg. 2010 Summer;22(2):121-6. doi: 10.1053/j.semtcvs.2010.09.010.
Despite increasing evidence suggesting harmful effects of blood transfusions, physician practices are slow to change. A systematic approach is required to successfully minimize the need for red cell transfusions in the perioperative cardiac surgical patient. This involves preoperative, intraoperative, and postoperative strategies to minimize blood loss and maximize blood conservation. In addition it requires physician education regarding the potential deleterious effects of blood and the more recent evidence that restrictive transfusion strategies are safe and possibly beneficial to postoperative surgical outcomes. In this article, we review the data with respect to blood transfusions in cardiac surgery patients as well as management strategies to minimize the need for blood transfusions in the perioperative period.
尽管越来越多的证据表明输血有不良影响，但医生的实践改变缓慢。需要采用系统的方法来成功地减少围手术期心脏外科患者红细胞输血的需求。这涉及术前、术中、术后策略，以最大限度地减少失血并最大限度地保存血液。此外，还需要对医生进行关于血液的潜在有害影响以及最近的证据的教育，即限制性输血策略是安全的，并且可能对术后手术结果有益。在本文中，我们回顾了关于心脏外科患者输血的数据以及在围手术期内最大限度减少输血需求的管理策略。
