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评估2019冠状病毒病大流行期间患者血液管理的重要性。

Evaluating the Importance of Patient Blood Management During COVID-19 Pandemic.

作者信息

Chegini Azita

机构信息

Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran.

出版信息

Anesth Pain Med. 2022 Jan 1;11(6):e112910. doi: 10.5812/aapm.112910. eCollection 2021 Dec.

Abstract

Due to the COVID-19 pandemic, the demand for blood products may decrease as the health care system shifts toward treating the increased number of patients afflicted with COVID-19 and delaying selective surgeries and emergency procedures. One of the most important problems for blood transfusion services during COVID-19 pandemic is the reduction in the number of donors and a decrease in blood stocks. This happens due to the limitations of attendance of donors in blood centers, lack of awareness, misinformation, fear of being infected while donating blood, and restricting the freedom of blood collection teams to attend public places. Blood transfusion services should be prepared and well-responded in a timely manner. In this regard, appropriate use of blood, diminishing unnecessary transfusions, and implementation of patient blood management (PBM) principles are considered as significant measurements. PBM can help maintain blood supply throughout the crisis and reduce the pressure on blood demand. As a result, blood products can be saved for patients who need it urgently. PBM focuses on the patient, as well as the conditions that make patients transfuse blood, such as blood loss, coagulopathy, platelet dysfunction, and anemia. Thus, the majority of health systems in different countries have made recommendations to the PBM in hospitals.

摘要

由于新冠疫情,随着医疗系统转向治疗越来越多的新冠患者,并推迟选择性手术和急诊程序,对血液制品的需求可能会下降。新冠疫情期间输血服务面临的最重要问题之一是献血者数量减少和血库库存下降。这是由于献血者前往血站受限、缺乏认识、错误信息、献血时担心被感染以及采血团队前往公共场所的行动自由受到限制等原因造成的。输血服务应做好准备并及时做出良好应对。在这方面,合理用血、减少不必要的输血以及实施患者血液管理(PBM)原则被视为重要措施。PBM有助于在整个危机期间维持血液供应,并减轻血液需求压力。因此,可以为急需血液制品的患者节省用血。PBM关注患者以及导致患者输血的各种情况,如失血、凝血病、血小板功能障碍和贫血。因此,不同国家的大多数卫生系统都已向医院的PBM提出了建议。

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