CAJ | 학술논문

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.
인동재위수술기적순배화대사은정성교성인경가취약,대량수혈시우기수요비상경척불량후과.재동등실혈정황하,년령인소시인동수혈치료평고시중요삼고지표지일.목전,성분수혈법이득도인가,장혈액중각충유효성분분리제순후의거병정수요침대성지수주유효적혈액성분,경과학지이용겁위유한적혈액자원.현취인동위수술기성분수혈중각주요제품수주적수혈지정、수혈제량급관리등실제문제진행토론.
Circulatory state and metabolic homeostasis could be more easily disturbed during perioperative periods 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.