轮转血栓测量和患者血液管理:一个叙述性回顾
Elham Khalaf-Adeli1,2, Fatemeh Tobeyani2
1Department of Hematology, Faculty of Paramedical Sciences, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Asian journal of transfusion science
|August 21, 2025
概括
在手术和创伤患者中,旋转性血栓形成仪 (ROTEM) 有助于减少输血. 需要进一步的研究来证实它对其他疾病如产科出血的益处.
科学领域:
- 临床病理学
- 输血医学
- 在护理地点进行检测
背景情况:
- 标准的凝血试验在早期发现凝血病方面存在局限性,往往导致经验性输血决定.
- 旋转血栓测量 (ROTEM) 在减少血液产品使用的有效性因临床环境而异.
- 患者血液管理 (PBM) 策略旨在优化输血实践.
研究的目的:
- 审查ROTEM的方法及其在PBM方法中的应用.
- 评估有关ROTEM在减少输血需求方面的现有文献.
- 评估ROTEM在减少输血中的有效性.
主要方法:
- 在文献中搜索了诸如"血栓弹性测量"",ROTEM"",心脏手术"",创伤"",肝移植"",产科"",输血"和"PBM"等术语.
- 审查包括了75个出版物.
- 该审查主要研究ROTEM对输血需求的影响.
主要成果:
- 有证据表明ROTEM有助于减少手术和创伤患者的输血.
- 在产科环境中对ROTEM的研究数量不足以得出最终的结论.
- 需要在不同临床场景中进一步研究ROTEM作为输血减少的临床试验的实用性.
结论:
- 特别是在创伤和手术方面,ROTEM显示出减少输血的潜力.
- 需要更多的研究来确定ROTEM在产科出血和其他疾病中的益处和有效性.
- 在适当的应用下,ROTEM可以成为患者血液管理的宝贵工具.
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