在胸切除术下进行肺切除的患者血液管理的评估
Suleyman Anil Akboga1, Kadir Baturhan Ciflik2, Busra Ozdemir Ciflik3
1Department of Thoracic Surgery, Ankara City Hospital, Ankara, 06800, Turkey. doktor_anil_@hotmail.com.
Journal of cardiothoracic surgery
|February 15, 2025
概括
外科医生经常过度准备血液进行肺切除,导致大量的浪费. 实施患者血液管理计划可以提高效率并减少医疗保健系统的负担.
科学领域:
- 胸部外科手术 胸部外科手术
- 患者血液管理患者血液管理
- 优化医疗保健系统的优化
背景情况:
- 外科医生的不必要的血液制备对血液银行库存和医疗保健资源产生了负面影响.
- 通过胸腔切除术进行肺切除术和肺切除术是常见的手术,在这些手术中,血液管理至关重要.
研究的目的:
- 为了评估患者血液管理策略的有效性,在接受带切除和胸腔切除的肺切除患者中.
- 确定在手术前血液订购和输血实践中需要改进的领域.
主要方法:
- 对87名通过胸腔切除术进行了叶叶切除术或肺切除术的患者进行了回顾性分析.
- 收集患者的人口统计,实验室,手术前血液订购和输血数据.
主要成果:
- 所有87名患者的血液进行了交叉匹配,但只有36.7%接受了输血.
- 预留了264个单位的血液,只有25.7% (68个单位) 被输血,这表明大量的浪费.
- 在分配/使用血液和重症监护/住院时间之间发现了显著的正相关性.
结论:
- 通过胸切除术选择性肺切除表明在准备过程中血液浪费率很高.
- 建议机构控制的患者血液管理计划,而不是外科医生对血液制备的裁量权.
- 针对患者的血制备计划可以提高效率,减少医疗保健系统的压力.
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