Bisbe Vives E
Servicio de Anestesiología y Reanimación, Hospital del Mar, IMIM ((Institut Hospital del Mar d'Investigacions Mèdiques), Barcelona, España.
Rev Esp Anestesiol Reanim. 2015 Jun;62 Suppl 1:52-6. doi: 10.1016/S0034-9356(15)30008-6.
The prevalence of preoperative anemia in major orthopedic surgery is high and is the main predictive factor for allogeneic blood transfusion. The scheduling of a preoperative visit with sufficient notice (at least 3 weeks before surgery), with a blood count test and a basic iron metabolism study, enables us to treat the anemia and/or improve preoperative hemoglobin levels, thereby reducing the need for transfusion and the risks associated with transfusions. Intravenous iron and/or erythropoietin are treatments for optimizing preoperative anemia, with good levels of scientific evidence.
大型骨科手术中术前贫血的发生率很高,是异体输血的主要预测因素。安排术前检查(至少在手术前3周)并给予足够的通知,同时进行血常规检查和基本铁代谢研究,有助于我们治疗贫血和/或提高术前血红蛋白水平,从而减少输血需求以及与输血相关的风险。静脉注射铁剂和/或促红细胞生成素是优化术前贫血的治疗方法,有充分的科学证据支持。