Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Anesthesiol Clin. 2023 Mar;41(1):161-174. doi: 10.1016/j.anclin.2022.10.003.
Patient blood management (PBM) is a systematic, evidence-based approach to improve patient outcomes by managing and preserving a patient's own blood and minimizing allogenic transfusion need and risk. According to the PBM approach, the goals of perioperative anemia management include early diagnosis, targeted treatment, blood conservation, restrictive transfusion except in cases of acute and massive hemorrhage, and ongoing quality assurance and research efforts to advance overall blood health.
患者血液管理(PBM)是一种系统的、基于证据的方法,通过管理和保存患者自身的血液,最大限度地减少异体输血的需求和风险,从而改善患者的预后。根据 PBM 方法,围手术期贫血管理的目标包括早期诊断、靶向治疗、血液保护、限制输血,除非出现急性和大量出血,以及持续的质量保证和研究工作,以促进整体血液健康。