2020年欧洲重症医学会非出血性重症成人患者的输血策略临床实践指南解读.pdfVIP

2020年欧洲重症医学会非出血性重症成人 患者的输血策略临床实践指南解读 1, 2 1, 2 1, 2 1, 2 1, 2 吴颖 ，洪健超 ，张金 ，肖文艳 ，杨旻 1. 安徽医科大学第二附属医院重症医学二科（合肥  230601 ） 2. 安徽医科大学第二附属医院心肺复苏与危重病实验室（合肥  230601 ） 【摘要】   贫血和凝血障碍是重症监护病房（ICU ）患者的常见问题，科学使用血液制品有助于重症患者救 治，但也存在可能危及生命的不良反应风险。欧洲重症医学会（ESICM ）于 2020 年发布了非出血性重症成人患者 的输血策略临床实践指南，目的在于解决非出血性重症成人患者的输血策略问题。本文对其重点内容进行解读， 以帮助我国医务人员更好地学习和使用该指南。 【关键词】  非出血性重症成人患者；输血；临床实践指南；指南解读 Interpretation of European Society of Intensive Care Medicine of clinical practice guideline on transfusion strategies fornon-bleeding critically ill adults in 2020 WU Ying1, 2, HONG Jianchao1, 2, ZHANG Jin1, 2, XIAO Wenyan1, 2, YANG Min1, 2 1. The Second Department of Intensive Care Unit, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, P.R.China 2. The Laboratory of Cardiopulmonary Resuscitation and Critical Care Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei 230601, P.R.China Corresponding author: YANG Min, Email: 512130761@ 【Abstract 】 Anemia and coagulopathy are frequently presented in critically ill patients on the intensive care unit. Scientific use of blood products assist the treatment of critically ill patients. However, life-threatening adverse effects are also a risk. In 2020, the European Society of Critical Care Medicine (ESICM) published a clinical practice guideline on transfusion strategies for non-bleeding critically ill adults in an attempt to resolve the transfusion strategy problems of relevant critically ill patients. This paper interprets the key contents in order to assist Chinese clinicians for better understanding and using of the guideline. 【Key words 】 Non-bleeding critically ill adults; Transfusion; Clinical practice guideline; Guideline interpretation 重症监护病房（intensive care unit ，ICU ）的重 血相关的发病率和死亡率增加。因此，欧洲重症医 症患者经常出现贫血和凝血功能障碍，这与死亡率 学会（European Society of Intensive Care Medicine ， 和发病率的增加独立相关。虽然采用