[在重症监护室用血液制品进行治疗]
1Interdisziplinäre Internistische Intensivmedizin, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland. sirak.petros@medizin.uni-leipzig.de.
概括
重症患者受益于对血液制品的限制性输血策略,因为缺乏支持自由使用的证据. 临床评估应该指导对输血的决定,而不是常规应用.
科学领域:
- 关键护理医学 关键护理医学
- 血液学 血液学 血液学
背景情况:
- 血液制品在重症患者中使用的证据往往有限.
- 区分适应性生理变化与需要干预的病理状况是具有挑战性的.
研究的目的:
- 评估支持在重症患者中使用血液制品的证据.
- 为重症监护中输血策略提供建议.
主要方法:
- 对血液制品的管理现有证据的审查.
- 对输血决策的临床评估指南.
主要成果:
- 没有证据支持在重症患者中治疗贫血的自由输血策略.
- 血小板减少和凝血变化可能表明不良结果,但不能预测需要替代.
- 没有证据支持在重症监护中常规使用白蛋白.
结论:
- 在重症患者中,建议对所有血液制品采取限制性策略.
- 治疗决策应基于现有证据和临床评估.
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