英国严重出血患者血液学管理指南(2022版)主要内容及其启示

The introduction to and inspiration from haematological management of major haemorrhage:a British Society for Haematology guideline

以证据为基础且务实的大出血复苏指南对于降低大出血患者死亡和并发症风险至关重要。近期,英国血液学会对2015年发布的《大出血患者血液学管理实用指南》作了修订。新版指南提供了大出血患者救治的血液成分输注、大出血患者血液复苏方案制订、特定大出血患者的输血要点、大规模伤亡事件的院前输血和紧急输血、大出血患者救治管理制度建设方面的指导和建议,强调采用多学科方法以及加强实验室和临床科室之间的密切沟通与合作,为大出血患者提供及时快速精准有效的输血支持。该指南综合了最新的临床研究成果,是一部具有普遍指导作用的大出血患者血液复苏循证指南,对于我国大出血患者血液复苏指南或方案的编制和教育培训颇有助益。

Evidenced based and practical guidelines have important role in the decrease of mobility and mortality of the patients with major haemorrhage.Recently,British Society for Haematology updated a guideline on haematological management of major haemorrhage,which provides the recommendations in general and on alternatives to transfusion,obstetric haemorrhage,gastrointestinal haemorrhage,trauma and surgery,and the good practice statements for laboratory/organisational support.The comprehensive and instructive recommendations presented in the guideline will be good references for and assist in the education and development of the guidelines or protocols for the management of the patient with major haemorrhage in China.