摘要
高原人群围手术期红细胞输注尚无可查阅的标准,由麻醉科医生或外科医生决定是否给予高原患者输注红细胞及输注量,有一定的盲目性。为保障高原高血红蛋白患者的围术期安全,更加科学、有效的使用血液,减少输血并发症、避免血液浪费,目前有必要制订适合高原患者的围手术期红细胞输注共识。2021年由四川省国际医学交流促进会高原医学(区域联合)专业委员会牵头在西藏自治区人民政府驻成都办事处医院成立工作组,并联合国内外科、麻醉科、输血科等学科的专家,共同撰写了《高原人群围手术期红细胞输注专家共识》(2021版),旨在推进高原高血红蛋白患者围手术期血液管理的安全性。
There is no relevant guidelines for perioperative red blood cell(RBC)transfusion for patients at high altitude.There is somehow blindness for anesthesiologist or surgeon to decide whether to transfuse RBC to patients at high altitude.In order to ensure the perioperative safety of patients with polycythemia at high altitude,and to reduce transfusion complications as well as avoid the waste of blood,it is necessary to get a consensus on perioperative RBC transfusion for patients at high altitude.A working group was established led by High Altitude Medicine(Regional Joint)Professional Committee of Sichuan International medical exchange&promotion association at hospital of Chengdu office of People's Government of Tibetan Autonomous Region in 2021.Experts from department of surgery,anesthesiology and blood transfusion have co-authored the"Expert Consensus on Perioperative Red Blood Cell Transfusion of high altitude Population(2021)",which aims to promote the safety of perioperative blood management for patients at high altitude.
作者
吴小东
尚凯茜
夏宗敬
贺曾
扎西罗布
殷作明
曹鹏冲
兰海
余正强
侯伟光
杨晓茂
李三旦
高志勇
余中良
刘晓青
洛桑旦增
徐水平
刘治娟
钟锐
曹晔
拉巴次仁
余海
孔清泉
WU Xiaodong;SHANG Kaixi;XIA Zongjing;HE Zeng;ZHAXI Luobu;YIN Zuoming;CAO Pengchong;LAN Hai;YU Zhengqiang;HOU Weiguang;YANG Xiaomao;LI Sandan;GAO Zhiyong;YU Zhongliang;LIU Xiaoqing;LUOSANG Danzeng;XU Shuiping;LIU Zhijuan;ZHONG Rui;CAO Ye;LABA Ciren;YU Hai;KONG Qingquan(Department of Critical Care Medicine, Hospital of Chengdu office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China;Department of Anesthesiology, Hospital of Chengdu office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China;Department of Biobank, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China;Department of Orthopedics, Lhasa People's Hospital, Lhasa 850013, China;Department of Orthopedics, General Hospital of Tibet Military Area Command, Lhasa 850007, China;Department of Orthopedics, The Affiliated Hospital of Chengdu University, Chengdu 610081, China;Department of Orthopedics, Changdu People's Hospital, Changdu 854085, Tibetan, China;Department of Orthopedics, 363 Hospital, Chengdu 610041, China;Department of Orthopedics, Ya'an People's Hospital, Ya'an 625099, Sichuan, China;Department of Orthopedics, Naqu People' s Hospital, Naqu 852000, Tibetan, China;Department of Anesthesiology, 363 Hospital, Chengdu 610041, China;Department of Anesthesiology, Changdu People's Hospital, Changdu 854085, Tibetan, China;Department of Anesthesiology, Linzhi People' s Hospital, Linzhi 860003, Tibetan, China;Department of Anesthesiology, Naqu People' s Hospital, Naqu 852000, Tibetan, China;Department of Anesthesiology, Tianquan Traditional Chinese Medicine Hospital, Ya'an 625599, Sichuan, China;Department of Blood Transfusion, Tibet Autonomous Region People's Hospital, Lhasa 850001, China;Biomedical Engineering Research Center of Blood Transfusion, Institute of Blood Transfusion, Chinese Academy of Medical Sciences, Peking Union Medical College, Chengdu 610052, China;Department of Anesthesiology, Tibet Autonomous Region People's Hospital, Lhasa 850001, China;Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu 610041, China;Department of Orthopedics, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu 610041, China;Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, China)
出处
《西部医学》
2022年第3期313-317,共5页
Medical Journal of West China
基金
四川省科技计划重点研发项目(2019YFQ0003)
四川省区域创新合作项目(2021YFQ0034)。
关键词
高原
高血红蛋白
围术期
红细胞输注
专家共识
High altitude
Polycythemia
Perioperative
Red blood cell transfusion
Expert consensus
