输血治疗传统观念的变革与更新.pptVIP

输血治疗传统观念的变革与更新;主要内容;询证输血医学新观念;Crit Care Med 2009 Vol. 37, No. 12. 3124;败血症患者要求较高Hb水平的适应证不包括支持目的;FFP适应证不包括抗感染输注FFP不能作为支持疗法;重症患者输注红细胞导致的不良转归;;;;;;Analysis of 24,112 enrollees in 3 large international trials of patients with acute coronary syndromes Association between transfusion and outcome Cox proportional hazards modeling Main outcome = 30 day mortality;Blood Transfusion and Clinical Outcome in Acute Coronary Syndrome; 研究对象;;;15,592 Cardiovascular operations Infection endpoints bacteremia, SSI 55% of pts received PRBCs, 21% plts, 13% FFP, 3% cryoprecipitate Increased