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在选择性脏移植期间进行外科手术期间输血的最新趋势
Juhye Roh1, Sangkeun Park1, Hee Jung Kang1
1Department of Laboratory Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Korean journal of transplantation
|September 26, 2023
概括
预测输血需求对于血液银行来说至关重要. 这项研究发现,由于患者血液管理和手术技术的改进,选择性移植患者越来越多地在手术后接受输血,而不是在手术期间.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 输血医学 输血医学
- 外科手术的结果
背景情况:
- 准确预测输血需求对于血液银行来说至关重要,以保持足够的库存.
- 在某些手术过程中,包括脏移植,术后输血是必不可少的,以控制患者的血液损失.
- 选择性移植需要仔细管理血液产品的需求,以确保患者的安全和最佳结果.
研究的目的:
- 检查接受选择性脏移植的患者的术后输血的利用模式.
- 分析十年来移植受体血液输血时间和产品类型的趋势.
主要方法:
- 从2013年到2022年对补充依赖细胞毒性交叉匹配试验数据的回顾性审查.
- 不包括重复测定和非移植患者.
- 对输血记录和移植接受者的不良反应的分析.
主要成果:
- 在2013年至2022年期间,有30名患者接受了选择性移植.
- 4名患者进行了手术内输血,8名患者进行了术后输血.
- 与非输血组 (10.4±1.2 g/dL) 相比,输血组的术后血红蛋白水平明显较低 (8.9±1.3 g/dL).
结论:
- 大多数选择性移植手术是在不需要输血的情况下进行的.
- 输血时间从手术期间到术后的时间有明显的转变.
- 患者的血液管理策略和外科手术的进步可能影响了在术后输血模式观察到的变化.
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