不能输血的患者
Kathryn E Webert1,2, Michelle P Zeller1,3,4
1Canadian Blood Services, Hamilton, Ontario, Canada.
Hematology. American Society of Hematology. Education Program
|December 5, 2025
概括
在不进行红细胞输血的情况下治疗贫血需要多学科的方法. 这涉及手术前查,贫血纠正和手术期间的策略,以尽量减少血液损失,以确保患者的安全.
科学领域:
- 输血医学 输血医学
- 麻醉学 麻醉学
- 手术管理的手术管理.
背景情况:
- 红细胞输血是贫血的标准,但有些患者不能或拒绝它们.
- 输血带有风险,需要对所有患者进行仔细的益处风险评估.
研究的目的:
- 概述管理无法或不愿接受输血的患者的策略.
- 强调多学科的方法,以优化各种临床环境的护理,包括手术.
主要方法:
- 在计划手术或分娩前至少6周对贫血进行查.
- 纠正贫血和记录出血史.
- 制定术前,术后和术后的多学科计划,包括应急管理.
主要成果:
- 实施策略,以尽量减少手术期间的血液损失.
- 手术后的管理重点是减少血液采样和优化贫血耐受性.
- 关于血液制品和可接受干预措施的患者决定的文件.
结论:
- 对于拒绝或无法接受输血的患者,安全有效的管理是可能的.
- 清晰的沟通,文档和多学科团队的参与对于成功的患者护理至关重要.
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