患儿心脏手术心肺转流期间血液保护策略的研究进展  

Research progress of blood protection strategies during cardiopulmonary bypass in pediatric cardiac surgery

作　　者：王文婷 刘晋萍 WANG Wenting;LIU Jinping(Department of Cardiopulmonary Bypass,State Key Laboratory of Cardiovascular Disease,Fuwai Hospital,National Center for Cardiovascular Diseases,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]中国医学科学院、北京协和医学院、国家心血管病中心、阜外医院体外循环中心,100037

出　　处：《临床麻醉学杂志》2024年第2期190-194,共5页Journal of Clinical Anesthesiology

基　　金：国家自然科学基金(81960669);中央高水平医院临床科研业务费资助(2022-GSP-GG-22)。

摘　　要：患儿心脏手术围术期失血与输血量增加有关,异体输血可导致心脏手术患儿不良事件发生率增高、预后不佳。围术期血液保护对于减少输血不良反应、缓解血源紧张具有重要的临床意义。心肺转流在围术期血液保护实践管理中占有重要地位。本文就心肺转流(CPB)期间血液保护的灌注策略以及血制品输注策略的最新进展进行综述,为CPB医师在患儿心脏手术CPB期间输血提供参考。Perioperative blood loss in pediatric cardiac surgery is related to the significant increase of blood transfusion,which leads to adverse events of blood transfusion and worsens the prognosis.Perioperative blood protection has important clinical significance in reducing adverse reactions to blood transfusion and alleviating blood supply tension.Cardiopulmonary bypass plays an important role in the management of perioperative blood protection practices.This article reviews the latest progress for blood protection in perfusion and blood product infusion strategies during cardiopulmonary bypass,providing reference for physicians to transfuse blood in children undergoing cardiopulmonary bypass during pediatric heart surgery.

关 键 词：患儿 心脏手术 心肺转流 血液保护 输血 

分 类 号：R726.5[医药卫生—儿科]