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患者血液管理:局部止血和密封剂的使用。

Patient blood management: use of topical hemostatic and sealant agents.

作者信息

Ozawa Sherri

出版信息

AORN J. 2013 Nov;98(5):461-78. doi: 10.1016/j.aorn.2013.08.014.

Abstract

Patient blood management is the scientific use of safe, effective medical and surgical techniques designed to conserve blood, prevent anemia, decrease bleeding, and optimize coagulation in an effort to improve patient outcomes. Perioperative and primary care nurses play a vital role in promoting and making the best use of patient blood management and can play a key role in implementing effective strategies that decrease or eliminate patient exposure to allogeneic blood. The fast and effective minimization of intraoperative bleeding is integral in an effective blood management program. Topical hemostatic and sealant agents can be used to improve blood conservation, reduce overall procedure time, and contribute to faster patient recovery based on specific clinical situations. The proper selection of hemostatic agents can greatly influence the patient's clinical outcomes.

摘要

患者血液管理是科学运用安全、有效的医疗和外科技术,旨在保存血液、预防贫血、减少出血并优化凝血功能,以改善患者预后。围手术期护士和基层医疗护士在促进和充分利用患者血液管理方面发挥着至关重要的作用,并且在实施减少或消除患者接受异体输血的有效策略中可发挥关键作用。在有效的血液管理计划中,快速有效地将术中出血降至最低至关重要。根据具体临床情况,局部止血和密封剂可用于改善血液保存、缩短总体手术时间并有助于患者更快康复。止血剂的正确选择可极大地影响患者的临床结局。

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