我们如何进行子宫内输血?
Elizabeth P Crowe1, Rida Hasan2,3, Nabiha H Saifee2,3
1Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Transfusion
|October 27, 2023
概括
胎儿贫血的子宫内输血 (IUT) 需要仔细选择血液成分,包括特定的红细胞 (RBC),以最大限度地降低风险和改善结果. 标准化IUT实践可以改善胎儿和新生儿护理.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 儿科血液学 儿科血液学
- 输血医学 输血医学
背景情况:
- 胎内输血 (IUT) 对严重的胎儿贫血至关重要,但由于胎儿的脆弱性,它存在风险.
- 目前的IUT指南缺乏标准化,依赖于专家意见和有限的数据.
研究的目的:
- 为IUT性能和血液成分制备提供多学科的视角.
- 为优化IUT和改善患者护理提供战略.
主要方法:
- 从孕产妇胎儿医学,儿科血液学和输血医学的多学科专家共识.
- 对识别有风险的胎儿,沟通,血液体积测定,成分选择/处理,记录和新生儿管理的策略的审查.
主要成果:
- 推使用新鲜的,O组,CMV安全,照射,HbS阴性,抗原阴性红细胞用于IUT.
- 红细胞单位应集中以最大限度地减少胎儿体积波动.
- 清晰的标签和文档对于IUT程序至关重要.
结论:
- 标准化的IUT协议和仔细的血液成分选择对于胎儿的健康至关重要.
- 对技术,后勤和监管方面的认识可以改善IUT中的沟通和患者护理.
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