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[《儿科输血指南》这一国家卫生标准中新生儿输血汇编的解释与解读]

[Explanation and interpretation of the compilation of neonatal blood transfusion in the national health standard "Guideline for pediatric transfusion"].

作者信息

Gui Rong, Huang Rong, Yang Ming-Hua, Zhu Xiao-Fan, Lu Jun, Xu Xiao-Jun, Yuan Tian-Ming, Zhang Rong, Wang Xu, Liu Jin-Ping, Wang Jing, Shao Zhi-Li, Zhao Ming-Yi, Guo Yong-Jian, Chen Jia-Rui, Chen Qi-Rong, Guo Jia, Wu Xin-Yin, Hei Ming-Yan, He Qing-Nan

机构信息

Neonatal Center, Beijing Children's Hospital, Capital Medical University, Beijing 100045 (Hei M-Y, Email:

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2024 Dec 15;26(12):1249-1254. doi: 10.7499/j.issn.1008-8830.2408014.

DOI:10.7499/j.issn.1008-8830.2408014
PMID:39725385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11684834/
Abstract

In order to guide clinical blood transfusion practices for pediatric patients, the National Health Commission has released the health standard "Guideline for pediatric transfusion" (WS/T 795-2022). Considering the physiological particularities of the neonatal period, blood transfusion practices for neonates are more complex than those for other children, the guidelines include a separate chapter dedicated to neonatal blood transfusion. This paper interprets the background and evidence for the compilation of the neonatal blood transfusion provisions, hoping to aid in the understanding and implementation of the neonatal blood transfusion section of the guidelines.

摘要

为指导儿科患者的临床输血实践，国家卫生健康委员会发布了卫生行业标准《儿科输血指南》（WS/T 795-2022）。考虑到新生儿期的生理特殊性，新生儿输血实践比其他儿童更为复杂，该指南专门设有一章论述新生儿输血。本文解读了新生儿输血条款的编制背景及依据，以期有助于理解和实施该指南中的新生儿输血部分。

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本文引用的文献

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Clinical Practice Guideline Revision: Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation.临床实践指南修订：孕35周及以上新生儿高胆红素血症的管理
Pediatrics. 2022 Sep 1;150(3). doi: 10.1542/peds.2022-058859.
2
Anemia and Red Blood Cell Transfusions, Cerebral Oxygenation, Brain Injury and Development, and Neurodevelopmental Outcome in Preterm Infants: A Systematic Review.早产儿的贫血与红细胞输血、脑氧合、脑损伤与发育以及神经发育结局：一项系统综述
Front Pediatr. 2021 Feb 26;9:644462. doi: 10.3389/fped.2021.644462. eCollection 2021.
3
Higher or Lower Hemoglobin Transfusion Thresholds for Preterm Infants.早产儿血红蛋白输血阈值的高低。
N Engl J Med. 2020 Dec 31;383(27):2639-2651. doi: 10.1056/NEJMoa2020248.
4
Effects of Liberal vs Restrictive Transfusion Thresholds on Survival and Neurocognitive Outcomes in Extremely Low-Birth-Weight Infants: The ETTNO Randomized Clinical Trial.极低出生体重儿自由输血与限制输血阈值对生存和神经认知结局的影响：随机临床试验 ETTNO。
JAMA. 2020 Aug 11;324(6):560-570. doi: 10.1001/jama.2020.10690.
5
Severe Anemia Is Associated with Intestinal Injury in Preterm Neonates.严重贫血与早产儿的肠道损伤有关。
Am J Perinatol. 2020 May;37(6):603-606. doi: 10.1055/s-0039-1683982. Epub 2019 Apr 4.
6
Anemia induces gut inflammation and injury in an animal model of preterm infants.贫血可诱导早产儿动物模型中的肠道炎症和损伤。
Transfusion. 2019 Apr;59(4):1233-1245. doi: 10.1111/trf.15254. Epub 2019 Mar 21.
7
Platelet Transfusions in Neonates - Less Is More.新生儿血小板输注——少即是多。
N Engl J Med. 2019 Jan 17;380(3):287-288. doi: 10.1056/NEJMe1813419.
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Randomized Trial of Platelet-Transfusion Thresholds in Neonates.新生儿血小板输注阈值的随机试验。
N Engl J Med. 2019 Jan 17;380(3):242-251. doi: 10.1056/NEJMoa1807320. Epub 2018 Nov 2.
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Anemia of prematurity and cerebral near-infrared spectroscopy: should transfusion thresholds in preterm infants be revised?早产儿贫血与近红外脑光谱：早产儿输血阈值是否需要修订？
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