多国输血实践和血液病患者在重症监护室入院的结果
Caroline M Schaap1, Laurens A Oomen1, Senta Jorinde Raasveld1,2
1Department of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Vox sanguinis
|November 24, 2025
概括
患有血液病症的重症患者接受更多的红细胞和血小板输血,通常在较低的门和预防性. 这强调了在这个不断增长的患者群体中需要明确的输血策略.
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
- 输血药物 输血药物 输血药物
背景情况:
- 患有血液病症的重症患者的数量正在增加.
- 目前对这一群体的输血实践还没有得到很好的定义.
研究的目的:
- 为了比较在重症监护室 (ICU) 中的输血策略,血液病患者和没有血液病患者.
主要方法:
- 输入研究的国际,前性观察子研究.
- 评估了ICU患者的输血使用 (红血细胞,血小板,血,静血干预) 具有和没有血液状况.
- 评估了输血指示和临界值.
主要成果:
- 血液病患者更有可能接受红细胞和血小板输血,通常是由于血红蛋白低而不是生理触发因素.
- 在血液病患者中观察到较低的血小板输血值 (中位数为23 × 10 ^ 9 / L与64 × 10 ^ 9 / L).
- 血小板和血输血经常用于预防;血液病患者接受了更多的静血干预,通常没有粘性弹性测试,并且28天的死亡率更高,ICU停留时间更长.
结论:
- 患有血液病的ICU患者表现出不同的输血模式,特别是血小板和血.
- 展望性研究对于为这种脆弱且不断增长的患者群体建立最佳输血门至关重要.
- 研究的局限性包括样本规模小,诊断细节有限,可能会影响解释.
相关概念视频
Blood Transfusion and Agglutination
14.0K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
14.0K
Blood Transfusion
2.1K
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
2.1K
Tissue Transplantation
875
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
875
Bone Marrow Sampling and Transplants
845
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
845
Continuous Renal Replacement Therapy
768
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
768
Acute Kidney Injury V: Interprofessional Care
284
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
284


