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红细胞输注对心脏手术后运动耐量和康复时间的影响。

Effects of red blood cell transfusions on exercise tolerance and rehabilitation time after cardiac surgery.

作者信息

Ranucci Marco, La Rovere Maria Teresa, Castelvecchio Serenella, Maestri Roberto, D'Armini Andrea Maria

机构信息

Department of Cardiothoracic - Vascular Anesthesia, Intensive Care and Cardiac Surgery, IRCCS Policlinico San Donato, Milan, Italy.

出版信息

Transfus Apher Sci. 2011 Dec;45(3):299-303. doi: 10.1016/j.transci.2011.10.012. Epub 2011 Oct 29.

DOI:10.1016/j.transci.2011.10.012
PMID:22040779
Abstract

Transfusions in cardiac surgery are associated with an increased morbidity and mortality rate. However, no information is available with respect to the recovery process of transfused patients after discharge from the hospital. Two-hundred-seventeen patients who underwent cardiac surgery operations requiring packed red cells transfusions were studied during the rehabilitation stay. The exercise tolerance (6-min walk test) was not dependent on the number of packed red cells units transfused. Conversely, the length of stay in the rehabilitation hospital was independently associated (P=0.004) with the number of packed red cells transfused, with an increase of 0.6 days per each unit transfused.

摘要

心脏手术中的输血与发病率和死亡率的增加相关。然而,关于输血患者出院后的恢复过程尚无相关信息。在康复住院期间,对217例接受需要输注浓缩红细胞的心脏手术的患者进行了研究。运动耐量(6分钟步行试验)并不取决于输注的浓缩红细胞单位数量。相反,康复医院的住院时间与输注的浓缩红细胞数量独立相关(P = 0.004),每输注一个单位增加0.6天。

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