儿科大规模输血协议:叙述审查和拟议的算法
Michaela Forgione1, Nicholas J Larson1, Amelia Collings2
1Department of Surgery, Regions Hospital, Saint Paul, MN, USA.
The American surgeon
|November 20, 2025
概括
出血是导致死亡的主要原因,特别是在儿童中. 本综述检查了儿科大规模输血协议 (pMTP),并提出了一个 pMTP 激活的算法,因为研究有限.
科学领域:
- 创伤外科 手术 创伤外科
- 儿科重症监护中心儿童重症监护中心
- 血液性冲击管理 血液性冲击管理
背景情况:
- 出血是美国可预防死亡的主要原因.
- 儿科患者患有不成比例的高出血死亡率.
- 关于儿科创伤复苏和大规模输血协议 (MTP) 的文献不如成人开发.
研究的目的:
- 审查有关儿科大规模输血协议 (pMTP) 的当前文献.
- 确定关于pMTP的研究现状.
- 为儿童创伤中pMTP激活提供一个框架.
主要方法:
- 关于儿科MTP的系统性文献综述.
- 创伤和儿科手术的内容专家开发了一种临床算法.
- 评估现有证据并确定研究缺口.
主要成果:
- 目前关于pMTP的文献有限.
- 提出了一个专家开发的pMTP激活算法.
- 确定了对儿科患者pMTP激活的验证评分系统的需求.
结论:
- 需要进一步研究以建立基于证据的pMTP指南.
- 拟议的算法作为pMTP激活的临时解决方案.
- 标准化和验证的协议对于改善儿科创伤复苏的结果至关重要.
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