骨科择期手术的患者血液管理  

Implement of patient blood management in elective orthopedic surgery

作　　者：范亚欣[1] 毕晓琳[1] 徐爽[1] 王沫丽[2] 齐志明[3] Fan Yaxin;Bi Xiaolin;Xu Shuang;Wang Moli;Qi Zhiming(Dalian Blood Center, Dalian 116001, Liaoning Province, China;Department of Anesthesia, Dalian Second People Hospital, Dalian 116001, Liaoning Province, China;Department of Orthopedic, Dalian Municipal Central Hospital, Dalian 116021, Liaoning Province, China)

机构地区：[1]大连市血液中心,116001 [2]大连市第二人民医院麻醉科,116001 [3]大连市中心医院骨科,116021

出　　处：《国际输血及血液学杂志》2019年第5期374-379,共6页International Journal of Blood Transfusion and Hematology

基　　金：大连市科技局科技计划项目(2015E12SF138).

摘　　要：患者血液管理(PBM)是一种基于循证医学的多学科团队协作治疗策略,以维持患者血红蛋白(Hb)水平、优化止血、减少失血为主要措施,以改善患者预后。骨科择期手术患者通常术中出血量大,围手术期输血率高。因此,对骨科择期手术的PBM,成为输血科、麻醉科及外科等临床多学科共同关注的问题。笔者拟就贫血管理、减少失血、合理输血3个方面,介绍骨科择期手术PBM的国内、外研究现状。The patient blood management (PBM) is an evidence-based care policy made by the multi-disciplinary teams designed to maintain hemoglobin(Hb) concentration, optimize hemostasis and minimize blood loss in an effort to improve patients′ outcomes. Patients undergoing elective orthopedic surgery usually suffer from large blood loss and high incidence of blood transfusion. Therefore, the PBM in elective orthopedic surgery has become a common concern of clinical multi-disciplinary teams such as transfusion, anesthesiology and surgery. This article reviews the research status of the implement of PBM in elective orthopedic surgery in 3 aspects including anemia management, decrease of blood loss and reasonable blood transfusion.

关 键 词：输血 输血 自体 贫血 失血 手术 患者血液管理 骨科手术 

分 类 号：R687.3[医药卫生—骨科学] R457.1[医药卫生—外科学]