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[医院获得性贫血:事实、后果及预防]

[Hospital-acquired anemia: Facts, consequences and prevention].

作者信息

Ozier Y, Aubron C, Nguyen B-V

机构信息

Département d'anesthésie-réanimation chirurgicale, CHRU de Brest, 29609 Brest cedex, France.

Service de réanimation médicale, CHRU de Brest, 29609 Brest cedex, France.

出版信息

Transfus Clin Biol. 2016 Nov;23(4):185-191. doi: 10.1016/j.tracli.2016.07.005. Epub 2016 Aug 23.

Abstract

Hospital-acquired anemia is common, especially in the most critically ill patients. It may be associated with poor patient outcomes. It may result from increased blood loss, impaired red cell production or reduced red cell life span. Multiple associated factors may contribute simultaneously or sequentially to the decrease in hemoglobin level. Some of them are related to the underlying disease and others are iatrogenic. Clinicians should be aware of the importance and consequences of iatrogenic anemia caused by diagnostic blood sampling. Strategies and measures to minimize iatrogenic blood loss should be prioritized. They may reduce the risk of developing anemia and then red blood cells transfusion requirement.

摘要

医院获得性贫血很常见,尤其是在病情最危重的患者中。它可能与患者预后不良有关。它可能由失血增加、红细胞生成受损或红细胞寿命缩短引起。多种相关因素可能同时或相继导致血红蛋白水平下降。其中一些与基础疾病有关,另一些是医源性的。临床医生应意识到诊断性采血导致的医源性贫血的重要性和后果。应优先采取策略和措施将医源性失血降至最低。它们可能会降低发生贫血的风险,进而降低红细胞输血需求。

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