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围手术期贫血:临床实践更新。

Perioperative anemia: clinical practice update.

机构信息

Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

出版信息

Hosp Pract (1995). 2021 Aug;49(3):133-140. doi: 10.1080/21548331.2021.1889214. Epub 2021 Mar 1.

Abstract

Perioperative medicine is an evolving area of medicine in which collaboration between internists, hospitalists, surgeons and anesthesiologists is the key to delivering high-quality care. Research in all areas of perioperative medicine, including perioperative anemia, is constantly evolving. Perioperative anemia is a major contributor to mortality and morbidity in the perioperative period. It is associated with an increased likelihood of postoperative wound complications, infections, delirium, increased length of stay and increased risk of readmissions. However, there is a lack of comprehensive guidelines for management of perioperative anemia. We performed an exhaustive review of contemporary literature on perioperative anemia and present evaluation and management recommendations that have the potential to impact clinical practice in the perioperative period.

摘要

围手术期医学是医学领域中一个不断发展的领域,内科医生、医院医生、外科医生和麻醉师之间的合作是提供高质量护理的关键。围手术期医学各个领域的研究,包括围手术期贫血,都在不断发展。围手术期贫血是围手术期死亡和发病的主要原因。它与术后伤口并发症、感染、谵妄、住院时间延长和再入院风险增加有关。然而,目前缺乏围手术期贫血管理的综合指南。我们对围手术期贫血的当代文献进行了详尽的回顾,并提出了评估和管理建议,这些建议有可能对围手术期的临床实践产生影响。

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