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影响脑血管外科手术中手术内红细胞输血的因素
Noriyuki Yahagi1, Yushiro Take1, Takuma Maeda1
1Cerebrovascular Surgery, Saitama Medical University International Medical Center, Hidaka, JPN.
Cureus
|January 20, 2026
概括
在脑血管外科手术期间的手术内红细胞 (RBC) 输血在手术前血红蛋白水平较低的患者中更为频繁. 手术前的贫血纠正可能会降低过度的红细胞输血风险.
科学领域:
- 神经外科 神经外科
- 输血医学 输血医学
- 麻醉学 麻醉学
背景情况:
- 全基因输血存在风险.
- 脑血管外科手术可能需要输血.
- 关于脑血管外科手术中输血因子的研究有限.
研究的目的:
- 在脑血管外科手术中确定与手术内红细胞 (RBC) 输血相关的因素.
- 选择性和紧急病例之间的输血频率进行比较.
- 分析患者因素和手术对输血率的影响.
主要方法:
- 对1145名接受脑血管外科手术的患者的回顾性分析 (2019年1月 - 2023年11月).
- 将患者分为可选组和紧急组.
- 检查了手术内红细胞输血,过量输血和体积超过血液损失,考虑到年龄,性别,手术和手术前血红蛋白 (Hgb).
主要成果:
- 在动脉静脉形缺陷 (AVM) 移除的选择性手术和Hgb <12 g/dL的患者中,手术内红细胞输血的比例较高.
- 紧急手术显示,在Hgb<12g/dL的患者中,红细胞输血率更高.
- 过度的红细胞输血发生在Hgb<12 g/dL的患者中更频繁,无论手术类型 (选择性/紧急).
结论:
- 手术前的血红蛋白水平<12 g/dL是手术内红细胞输血和脑血管外科手术中过度输血的重要危险因素.
- 外科手术的类型没有影响过度的手术内红细胞输血率.
- 术前贫血管理对于减轻这些患者输血风险至关重要.
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