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术前会诊以确定合适的输血策略。

Preoperative consultation for determining the appropriate transfusion strategy.

作者信息

Kang Ka-Won

机构信息

Department of Internal Medicine, Division of Hematology-Oncology, Korea University College of Medicine, 73, Goryeodae-ro, Seongbuk-gu, Seoul, 02841, the Republic of Korea.

出版信息

Blood Res. 2024 Jun 7;59(1):21. doi: 10.1007/s44313-024-00021-x.

Abstract

Surgical patients are at risk of postoperative complications and mortality, necessitating preoperative patient optimization through the identification and correction of modifiable risk factors. Although preoperative platelet transfusions aim to reduce the risk of bleeding, their efficacy remains uncertain. Similarly, red blood cell transfusion in patients with anemia does not reduce the risk of postoperative mortality and may exacerbate complications. Therefore, developing individualized strategies that focus on correcting preoperative complete blood count abnormalities and minimizing transfusion requirements are essential. This review aimed to examine complete blood count abnormalities and appropriate transfusion strategies to minimize postoperative complications.

摘要

外科手术患者面临术后并发症和死亡风险,因此需要通过识别和纠正可改变的风险因素来优化术前患者状况。尽管术前输注血小板旨在降低出血风险,但其疗效仍不确定。同样,贫血患者输注红细胞并不能降低术后死亡风险,且可能会加重并发症。因此,制定专注于纠正术前全血细胞计数异常并尽量减少输血需求的个性化策略至关重要。本综述旨在研究全血细胞计数异常及适当的输血策略,以尽量减少术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e15d/11161442/0b41ab70dfef/44313_2024_21_Fig1_HTML.jpg

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