Zhonghua Wai Ke Za Zhi. 2020 Apr 1;58(4):252-256. doi: 10.3760/cma.j.cn112139-20200210-00073.
Iron deficiency anemia is common in general surgery patients during the perioperative period, which will increase the morbidity and mortality. Timely diagnosis and treatment of iron deficiency anemia in the perioperative period will improve the clinical outcome of patients and reduce the medical burden.Management of perioperative iron deficiency anemia includes familiar with the diagnosis and grading of anemia, monitoring patient's hemoglobin, treatment of anemic etiology, nutritional support, iron supplementation, implementation of restrictive transfusion strategy, application of erythropoietin, autotransfusion, etc.Multidisciplinary management of iron deficiency anemia is encouraged.
缺铁性贫血在普通外科患者围手术期较为常见，这会增加发病率和死亡率。围手术期及时诊断和治疗缺铁性贫血将改善患者的临床结局并减轻医疗负担。围手术期缺铁性贫血的管理包括熟悉贫血的诊断和分级、监测患者血红蛋白、治疗贫血病因、营养支持、补充铁剂、实施限制性输血策略、应用促红细胞生成素、自体输血等。鼓励对缺铁性贫血进行多学科管理。
