血液管理在骨科围手术期的应用进展  

Advances in perioperative use of blood transfusion in orthopedics

作　　者：沈忠军 汪敏 李峣 赵丽艳[1] SHEN Zhongjun;WANG Min;LI Yao;ZHAO Liyan(Department of Blood Transfusion,The Second Hospital of Jilin University,Changchun,130041,China)

机构地区：[1]吉林大学第二医院输血科,长春130041

出　　处：《临床血液学杂志》2024年第2期141-146,共6页Journal of Clinical Hematology

摘　　要：骨科手术是一种常见的外科手术,涉及骨骼系统的疾病和损伤的治疗,在骨科手术中不可避免地会出现血液丢失。严重的失血可能会对重要器官功能造成影响,并增加严重并发症和术后死亡率的风险。血液输注是骨科围手术期管理中的重要组成部分,它可以在围手术期帮助患者维持适当的血容量、血红蛋白水平等,并促进患者的康复。血液输注在骨科围手术期的应用进展为骨科手术患者的治疗带来了重要的变革。适应证和指征的明确、管理策略的改进以及后续随访和评估的重视,都有助于提高患者的手术结果和术后康复。因此,文章通过综述血液输注治疗在骨科手术围术期的应用进展,为改进骨科手术围术期患者的血液管理提供新的思路。Orthopedic surgery is a common surgical procedure that involves the treatment of diseases and injuries related to the musculoskeletal system.Blood loss is inevitable during orthopedic surgery.Severe blood loss can have an impact on the function of vital organs and increase the risk of serious complications and postoperative mortality.Blood transfusion plays a crucial role in the perioperative management of orthopedic surgery.It helps patients maintain appropriate blood volume,hemoglobin levels,and coagulation function during the perioperative period,and promotes patient recovery.The application of blood transfusion during the perioperative period of orthopedic surgery has brought significant changes to the treatment of orthopedic surgery patients.Clear indications and guidelines,improvements in management strategies,and emphasis on follow-up and evaluation all contribute to improving patient surgical outcomes and postoperative recovery.Therefore,this article reviews the progress in the application of blood transfusion therapy during the perioperative period of orthopedic surgery,providing new insights for improving blood management in orthopedic surgery patients.

关 键 词：血液输注 骨科 围术期 

分 类 号：R457.1[医药卫生—治疗学]