围手术期贫血与患者血液管理新进展

Research advances on perioperative anemia and patients'blood supply management

围手术期贫血与患者的不良预后紧密相关,是术后重要脏器并发症发病率与病死率的独立危险因素。临床医师需要重视患者血液管理,尽早采取一系列干预措施纠正贫血、优化凝血功能,从而减少输注异体血,促进患者术后康复。文章围绕术前贫血的筛查与治疗、术中个体化血液保护措施以及术后贫血的早期识别与干预进行介绍,以期为临床工作中围手术期贫血与患者血液管理的推广提供理论支撑。

Perioperative anemia is closely associated with poor prognosis,which is an independent risk factor for postoperative vital organ complications rate and mortality.Clinicians need to pay attention to patient blood supply management and take a series of in⁃terventions to treat anemia and optimize blood coagulation function as soon as possible to reduce allogeneic transfusion and enhance re⁃covery after surgery.This review aims to discuss preoperative screening and treatment of anemia,individualized intraoperative blood conversation,and early identification and intervention of postoperative anemia.This review is expected to provide a theoretical basis for perioperative anemia and patient blood management in clinical practice.