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[医院输血政策共识指南的调整]

[Adjustment of the consensus guidelines on blood transfusion policies at hospitals].

作者信息

van Aken W G

出版信息

Ned Tijdschr Geneeskd. 1989 Mar 18;133(11):559-61.

PMID:2651940
Abstract

The consensus guidelines for blood transfusion in hospitals published in 1982 have been adjusted taking into account recent developments in compatibility testing, storage media for red cells, autologous blood transfusion and blood ordering. The 'type and screen'-strategy, previously recommended with certain restrictions, is now considered safe and advantageous as regards availability of blood for transfusion. The saline-adenine-glucose-mannitol (SAGM) solution for preservation of red cell concentrates is recommended as it has clinical and logistic advantages. Guidelines for pre- and peroperative autologous blood transfusion and the use of frozen autologous red cell concentrates are presented.

摘要

1982年发布的医院输血共识指南已根据相容性检测、红细胞储存介质、自体输血和血液订购方面的最新进展进行了调整。“血型鉴定和筛查”策略此前在某些限制条件下被推荐使用,现在就输血用血的可得性而言,被认为是安全且有利的。推荐使用生理盐水-腺嘌呤-葡萄糖-甘露醇(SAGM)溶液来保存红细胞浓缩液,因为它具有临床和后勤方面的优势。文中还给出了术前和术中自体输血以及使用冷冻自体红细胞浓缩液的指南。

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