儿童围手术期的成分输血  

Perioperative transfusion of blood components in pediatric patients

作　　者：向波[1] 陈祖德[1] 赵一洋[1] 

机构地区：[1]四川大学华西医院小儿外科,成都610041

出　　处：《中华实用儿科临床杂志》2014年第6期404-405,共2页Chinese Journal of Applied Clinical Pediatrics

摘　　要：儿童在围手术期的循环和代谢稳定性较成人更加脆弱，大量输血时尤其需要非常警惕不良后果。在同等失血情况下，年龄因素是儿童输血治疗评估时重要参考指标之一。目前，成分输血法已得到认可，将血液中各种有效成分分离提纯后依据病情需要针对性地输注有效的血液成分，更科学地利用极为有限的血液资源。现就儿童围手术期成分输血中各主要制品输注的输血指征、输血剂量及管理等实际问题进行讨论。Circulatory state and metabolic homeostasis could be more easily disturbed during perioperative pe- riods for children compared with those of adults especially when receiving massive transfusions. Patient＇s age would be an important factor for clinical evaluation if certain amount of blood was lost. Component transfusions have now gained wide recognitions. Specific blood components should be considered according to different diseases, which would make transfusion more accurate and blood resources used more efficiently. This article focused on the indications, doses and several specific issues for perioperative component transfusions among pediatric patients.

关 键 词：成分输血 围手术期 儿童 

分 类 号：R457.1[医药卫生—治疗学]