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在隔离的非抽动冠状动脉旁路移植中,输血的风险因素
Apu Saha1, Sufina Shales1, Shivangi Jain1
1Department of Cardiac Surgery, Rabindranath Tagore International Institute of Cardiac Sciences, Narayana Health, 124, EM Bypass, Mukundapur, Kolkata, 700099 India.
Indian journal of thoracic and cardiovascular surgery
|October 27, 2025
概括
在隔离的脱冠状动脉旁路移植 (OPCAB) 期间输血的预测因素包括更多的移植,较低的血红素值和周围血管疾病. 女性性别和肌水平升高也增加了多次输血的风险.
科学领域:
- 心血管外科心血管外科
- 输血医学 输血医学
- 麻醉学 麻醉学
背景情况:
- 输血在心脏手术中很常见,但其必要性和预测因素在隔离的非冠状动脉旁路移植 (OPCAB) 中需要进一步调查.
- 了解输血风险可以优化患者管理和资源配置.
研究的目的:
- 在孤立的OPCAB中识别与输血相关的风险因素.
- 为了区分接受单个和多个输血单位的患者的特征.
主要方法:
- 在第三级护理中心接受隔离OPCAB的患者的回顾性队列研究.
- 患者分为没有输血,单单元或多单元输血组.
- 多变量分析以确定单个和多个单位输血的预测因子.
主要成果:
- 年龄较大,女性性别,移植数量较多,排水量较大,再检查率增加与更高的输血需求有关.
- 多重输血的预测因素包括移植数量,女性性别,外周血管疾病,肌素升高,手术前低血红素和低体重指数.
- 移植数量,低手术前血红素和外周血管疾病预测了单次和多次输血.
结论:
- 移植的数量,低的手术前血红素,低的体重指数和外周血管疾病是OPCAB输血的常见预测因素.
- 女性性别和手术前肌水平升高独立地与多个单位输血的风险增加有关.
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