2025 AABB国际临床实践指南：红 细胞输注在急性心肌梗死中的应用.pdfVIP

AnnalsofInternalMedicineCLINICALGUIDELINE

RedCellTransfusioninAcuteMyocardialInfarction:AABB

InternationalClinicalPracticeGuidelines

MonicaB.Pagano,MD*;SimonJ.Stanworth,MD,DPhil*;JaneDennis,PhD;SaraBakhtary,MD;JeannieCallum,MD;

JeffreyL.Carson,MD;ClaudiaS.Cohn,MD,PhD;AllanDubon,MLS;BrendaJ.Grossman,MD,MPH;

GauravK.Gupta,MD,PhD;AaronS.Hess,MD,PhD;JessicaL.Jacobson,MD;LewisJ.Kaplan,MD;KeyvanKarkouti,MD;

YuliaLin,MD;RyanA.Metcalf,MD;LachlanF.Miles,MBBS,PhD;NicholasL.Mills,MBChB,PhD;ColinH.Murphy,MD;

KaterinaPavenski,MD;MicahT.Prochaska,MD;JayS.Raval,MD;EricSalazar,MD,PhD;NabihaH.Saifee,MD,PhD;

KevinShah,MD;P.GabrielSteg,MD;AaronA.R.Tobian,MD,PhD;CynthiaSo-Osman,MD,PhD;TimothyWalsh,MD;

JonathanWaters,MD;EricaM.Wood,MD;NicoleD.Zantek,MD,PhD;andGordonH.Guyatt,MD

Description:OptimaltransfusionstrategiesforpatientsRecommendation:ForhospitalizedpatientswithAMI,

withacutemyocardialinfarction(AMI)areuncertain.thepanelsuggestsaliberalredcelltransfusionstrat-

Theaimofthisguidelineistoproviderecommen-egywhenthehemoglobinconcentrationislessthan

dationsforredbloodcelltransfusioninpatientswith10g/dL(conditionalrecommendation,low-certainty

AMI.evidence).Arestrictivestrategyof7to8g/dLmay

resultinincreasedmortalityinpatientswithAMI.The

Methods:Theseguidelinesarebasedonevidencedirectionoftherecommendationfortheliberalstrat-

fromrandomizedcontrolledtrialsofpatientspresent-egywasbasedonthegreatimportanceofm