{"id":4725,"date":"2022-09-07T16:13:14","date_gmt":"2022-09-07T08:13:14","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=4725"},"modified":"2022-09-12T10:13:36","modified_gmt":"2022-09-12T02:13:36","slug":"are-transfusion-too-much-too-quickly","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/are-transfusion-too-much-too-quickly\/","title":{"rendered":"Are Transfusion Too Much Too Quickly?"},"content":{"rendered":"
\n
\"\"<\/figure>\n<\/div>\n\n\n

\u8f38\u8840\u76f8\u95dc\u5faa\u74b0\u904e\u8f09(Transfusion-Associated Circulatory Overload, TACO)\u662f\u8f38\u8840\u9020\u6210\u7684\u53ef\u80fd\u4f75\u767c\u75c7\uff0c\u4e3b\u56e0\u662f\u7531\u65bc\u8f38\u6ce8\u904e\u591a\u7684\u8840\u6db2\u6216\u8f38\u8840\u904e\u5feb\u5f15\u8d77\u80ba\u6c34\u816b\uff0c\u901a\u5e38\u767c\u751f\u5728\u5927\u91cf\u5feb\u901f\u8f38\u8840\u7684\u60a3\u8005\uff0c\u767c\u751f\u7387\u7d041-8%2<\/sup>\uff0c\u56b4\u91cd\u6642\u75c5\u4eba\u8981\u5165\u4f4fICU\u3001\u6a5f\u68b0\u901a\u6c23\u751a\u81f3\u6703\u5c0e\u81f4\u6b7b\u4ea1\u3002\u800c\u9810\u9632TACO\u7684\u65b9\u5f0f\u4e3b\u8981\u4ef0\u8cf4\u91ab\u7642\u4eba\u54e1\u5c0d\u75c5\u4eba\u8f38\u8840\u91cf\u8207\u8f38\u8840\u901f\u5ea6\u7684\u7ba1\u63a73<\/sup>\uff0c\u9019\u5728\u5927\u91cf\u5feb\u901f\u8f38\u6db2\u6642\u5c24\u5176\u6703\u662f\u6311\u6230\u3002<\/p>\n\n\n\n

Prevention of TACO requires a controlled rate of infusion
\u9810\u9632TACO\u767c\u751f\u5fc5\u9808\u8981\u63a7\u7ba1\u8f38\u6db2\u7684\u901f\u7387<\/p>Philip Lanzkowsky, Chapter 31 – Supportive Care of Patients with Cancer, Manual of Pediatric Hematology and Oncology (Fifth Edition), Academic Press, 2011, Pages 857-920.<\/cite><\/blockquote>\n\n\n\n

\u8f38\u8840\u91cf\u4ee5\u53ca\u8f38\u8840\u901f\u7387\u7684\u63a7\u7ba1<\/strong>
\u8c9d\u723e\u66fc\u7279\u8f38\u6db2\u7ba1\u7406\u7cfb\u7d71RI-2<\/a>\u662f\u4e00\u6b3e\u4ee5\u5e6b\u6d66\u9a45\u52d5<\/strong>\u7684\u5feb\u901f\u8f38\u6db2\u3001\u8f38\u8840\u52a0\u6eab\u88dd\u7f6e\uff0c\u6709\u5225\u65bc\u58d3\u529b\u3001\u91cd\u529b\u578b\u7684\u8f38\u6db2\u65b9\u5f0f\uff0c\u5e6b\u6d66\u7684\u512a\u52e2\u5728\u65bc\u80fd\u7cbe\u6e96\u8a2d\u5b9a\u6d41\u901f(2.5 – 750 mL\/min)\uff0c\u4e26\u96a8\u6642\u4f9d\u64da\u75c5\u4eba\u72c0\u614b\u4f5c\u8abf\u6574\u3002<\/p>\n\n\n\n

\u6b64\u5916\uff0cRI-2\u652f\u63f4\u300eBolus\u300f\u529f\u80fd\u53ef\u8a2d\u5b9a\u4e00\u6b21\u6027\u5730\u5b9a\u91cf\u5feb\u901f\u8f38\u6ce8(100\u3001200\u3001500\u30011000mL)\uff0c\u907f\u514d\u6301\u7e8c\u6027\u5b9a\u901f\u8f38\u6db2\u6642\u5bb9\u6613\u5c0e\u81f4\u8f38\u6db2\u904e\u91cf\u7684\u98a8\u96aa\u3002<\/p>\n\n\n

\n
\"\"
RI-2\u7684\u8f38\u6ce8\u901f\u7387\u53ef\u4ee5\u57282.5 – 750 ml\/min\u5340\u9593\u5167\u81ea\u7531\u8a2d\u5b9a\uff0c\u4f9d\u75c5\u60c5\u5f48\u6027\u8abf\u6574<\/figcaption><\/figure>\n<\/div>\n\n\n

\u53c3\u8003\u8cc7\u6599\uff1a
[1]. Barmparas G, Huang R, Lee WG, et al, Overtransfusion of packed red blood cells during massive transfusion activation: a potential quality metric for trauma resuscitation<\/a>, Trauma Surgery & Acute Care Open 2022;7:e000896. doi: 10.1136\/tsaco-2022-000896.
[2]. Murphy EL, Kwaan N, Looney MR, et al. Risk factors and outcomes in transfusion-associated circulatory overload<\/a>. Am J Med<\/em>. 2013;126(4):357.e29-357.e3.57E38. doi:10.1016\/j.amjmed.2012.08.019
[3]. Klanderman, RB, Wijnberge, M, Bosboom, JJ, Roelofs, JJTH, de Korte, D, van Bruggen, R, et al. Differential effects of speed and volume on transfusion-associated circulatory overload: A randomized study in rats.<\/a> Vox Sang<\/em>. 2022; 117: 371\u2013 378.
[4]. Philip Lanzkowsky, Chapter 31 – Supportive Care of Patients with Cancer, Manual of Pediatric Hematology and Oncology (Fifth Edition), Academic Press, 2011, Pages 857-920.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u8f38\u8840\u76f8\u95dc\u5faa\u74b0\u904e\u8f09(TACO)\u662f\u8f38\u8840\u9020\u6210\u7684\u53ef\u80fd\u4f75\u767c\u75c7\uff0c\u9810\u9632TACO\u4ef0\u8cf4\u65bc\u8f38\u8840\u91cf\u8207\u901f\u5ea6\u7684\u7ba1\u63a7\uff0c\u9019\u5728\u5927\u91cf\u5feb\u901f\u8f38\u6db2\u6642\u5c24\u5176\u6703\u662f\u6311\u6230<\/p>","protected":false},"author":1,"featured_media":4740,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[66,127,222,94,430,102,101,67,111,110,96,429],"class_list":["post-4725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-info","tag-belmont-rapid-infuser","tag-cosmo-medical","tag-fms2000","tag-ri-2","tag-transfusion-associated-circulatory-overload","tag-102","tag-101","tag-67","tag-111","tag-110","tag-96","tag-429"],"jetpack_featured_media_url":"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg","jetpack_shortlink":"https:\/\/wp.me\/paJTt6-1ed","rttpg_featured_image_url":{"full":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",769,588,false],"landscape":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",769,588,false],"portraits":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",769,588,false],"thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-300x229.jpg",300,229,true],"medium":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-400x306.jpg",400,306,true],"large":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",750,573,false],"1536x1536":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",769,588,false],"2048x2048":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1.jpg",769,588,false],"trp-custom-language-flag":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-16x12.jpg",16,12,true],"hestia-blog":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-360x240.jpg",360,240,true],"woocommerce_thumbnail_2x":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-460x460.jpg",460,460,true],"woocommerce_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-230x230.jpg",230,230,true],"woocommerce_single":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-600x459.jpg",600,459,true],"woocommerce_gallery_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2022\/09\/taco-1-160x160.jpg",160,160,true]},"rttpg_author":{"display_name":"pohsun","author_link":"https:\/\/www.cosmomed.com.tw\/en\/author\/pohsun\/"},"rttpg_comment":0,"rttpg_category":"\u8cc7\u8a0a<\/a>","rttpg_excerpt":"\u8f38\u8840\u76f8\u95dc\u5faa\u74b0\u904e\u8f09(TACO)\u662f\u8f38\u8840\u9020\u6210\u7684\u53ef\u80fd\u4f75\u767c\u75c7\uff0c\u9810\u9632TACO\u4ef0\u8cf4\u65bc\u8f38\u8840\u91cf\u8207\u901f\u5ea6\u7684\u7ba1\u63a7\uff0c\u9019\u5728\u5927\u91cf\u5feb\u901f\u8f38\u6db2\u6642\u5c24…","_links":{"self":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/4725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/comments?post=4725"}],"version-history":[{"count":0,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/4725\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media\/4740"}],"wp:attachment":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media?parent=4725"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/categories?post=4725"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/tags?post=4725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}