{"id":6294,"date":"2024-01-31T10:39:01","date_gmt":"2024-01-31T02:39:01","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=6294"},"modified":"2024-02-05T15:35:39","modified_gmt":"2024-02-05T07:35:39","slug":"how-mayo-clinic-achieves-optimal-transfusion-ratios","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/how-mayo-clinic-achieves-optimal-transfusion-ratios\/","title":{"rendered":"How Mayo Clinic Achieves Optimal Transfusion Ratios"},"content":{"rendered":"
\n
\"\"
Mayo\u6cbb\u7642\u5275\u50b7\u60a3\u8005\u4e09\u9805\u5229\u5668<\/figcaption><\/figure>\n<\/div>\n\n\n

\u5275\u50b7\u60a3\u8005\u5f80\u5f80\u9762\u81e8\u56b4\u91cd\u7684\u51fa\u8840\u548c\u51dd\u8840\u7570\u5e38\uff0c\u5c0d\u65bc\u9019\u4e9b\u60a3\u8005\uff0c\u8f38\u8840\u6bd4\u4f8b\u7684\u9069\u7576\u7ba1\u7406\u81f3\u95dc\u91cd\u8981\u3002\u7136\u800c\uff0c\u5be6\u73fe\u6700\u4f73\u8f38\u8840\u6bd4\u4f8b\u9762\u81e8\u8457\u591a\u91cd\u56f0\u96e3\uff0c\u5305\u62ec\u8f38\u8840\u6bd4\u4f8b\u8ffd\u8e64\u3001\u6709\u9650\u8840\u54c1\u8cc7\u6e90\u3001\u5718\u968a\u7684\u5354\u8abf\u8207\u6e9d\u901a\u3002\u70ba\u4e86\u61c9\u5c0d\u9019\u4e9b\u6311\u6230\uff0c\u6885\u5967\u8a3a\u6240\u91ab\u7642\u7cfb\u7d71\u5967\u514b\u840a\u723e\u5206\u9662(Mayo Clinic Health System – Eau Claire)\u7684\u91ab\u7642\u5718\u968a\u63d0\u51fa\u4f7f\u7528\u5168\u8840\u8f38\u6ce8<\/strong>\u3001\u6db2\u614b\u8840\u6f3f<\/strong>(Liquid Plasma)\u548c\u5275\u50b7\u767d\u677f<\/strong>(Trauma Whiteboard)\u7b49\u89e3\u6c7a\u65b9\u5f0f\u3002\u900f\u904e\u9019\u4e9b\u65b9\u6cd5\uff0c\u91ab\u7642\u5718\u968a\u80fd\u5920\u66f4\u6709\u6548\u5730\u61c9\u5c0d\u5275\u50b7\u60a3\u8005\u7684\u6025\u9700\uff0c\u63d0\u9ad8\u60a3\u8005\u7684\u751f\u5b58\u7387\u548c\u6cbb\u7642\u6548\u679c\uff1a<\/p>\n\n\n\n

\u5168\u8840\u8f38\u6ce8\uff1a<\/strong>\u5728\u57f7\u884c\u5927\u91cf\u8f38\u8840\u65b9\u6848\u6642(Mass Transfusion Protocol, MTP)FFP\u5f80\u5f80\u9700\u8981\u6bd4\u8d77PRBC\u66f4\u591a\u7684\u6e96\u5099\u6642\u9593\uff0c\u9019\u5c0e\u81f4\u4e86\u5728\u8f38\u8840\u904e\u7a0b\u4e2dMTP\u6bd4\u4f8b\u5931\u8861\u3002\u56e0\u6b64\u5c07\u4f4e\u50f9\u5168\u8840(Low-titer Whole Blood)\u7684\u4f7f\u7528\u4f75\u5165\u5927\u91cf\u8f38\u8840\u65b9\u6848\u4e4b\u4e2d\uff0c\u4ee52\u55ae\u4f4d\u5168\u8840\u4f5c\u70ba\u5927\u91cf\u8f38\u8840\u65b9\u6848\u7684\u8d77\u624b\u5f0f\uff0c\u9019\u4f7f\u5f97\u521d\u671f\u5373\u80fd\u5920\u63d0\u4f9b\u8f03\u5e73\u8861\u7684\u8f38\u8840\u6bd4\u4f8b\uff0c\u4e26\u6d88\u5f2dFFP\u9700\u8981\u8f03\u9577\u524d\u7f6e\u6642\u9593\u7684\u554f\u984c\u3002<\/p>\n\n\n\n

\u6db2\u614b\u8840\u6f3f(Liquid Plasma)2<\/sup>\uff1a<\/strong>\u50b3\u7d71\u51b7\u51cd\u8840\u6f3f\u5728\u4f7f\u7528\u524d\u9700\u8981\u7d0430\u5206\u9418\u9032\u884c\u89e3\u51cd\u3001\u8cbc\u6a19\u3001\u767c\u9001\uff0c\u4e26\u4e14\u89e3\u51cd\u5f8c\u7684\u51b7\u51cd\u8840\u6f3f\u53ea\u67095\u5929\u7684\u4fdd\u5b58\u671f\u9650\uff0c\u5982\u679c\u7121\u6cd5\u518d\u5229\u7528\uff0c\u5c31\u6703\u9020\u6210\u6d6a\u8cbb\u3002\u5c24\u5176\u5728\u8f03\u5c0f\u7684\u5275\u50b7\u4e2d\u5fc3\uff0c\u8f38\u8840\u91cf\u8f03\u4f4e\uff0c\u9019\u500b\u554f\u984c\u5c24\u5176\u56b4\u91cd\u3002\u70ba\u4e86\u61c9\u5c0d\u8840\u6f3f\u7684\u8cc7\u6e90\u9650\u5236\u548c\u8655\u7406\u901f\u5ea6\u7684\u6311\u6230\uff0cMayo\u5f15\u9032\u4e86\u6db2\u614b\u8840\u6f3f\u3002\u76f8\u8f03\u65bc\u50b3\u7d71\u7684\u51b7\u51cd\u8840\u6f3f\uff0c\u6db2\u614b\u8840\u6f3f\u7121\u9700\u89e3\u51cd(\u651d\u6c0f1-6\u5ea6\u5132\u5b58)\uff0c\u4e26\u4e14\u5177\u6709\u8f03\u9577\u7684\u4fdd\u5b58\u671f\u9650(26\u5929)\u3002\u9019\u7a2e\u5f62\u5f0f\u7684\u8840\u6f3f\u66f4\u5bb9\u6613\u5b58\u5132\u548c\u904b\u8f38\uff0c\u4e26\u80fd\u5920\u66f4\u9748\u6d3b\u5730\u61c9\u5c0d\u8f38\u8840\u9700\u6c42\u3002<\/p>\n\n\n

\n
\"\"
\u5275\u50b7\u767d\u677f1<\/sup>
<\/figcaption><\/figure>\n<\/div>\n\n\n

\u5275\u50b7\u767d\u677f(Trauma Whiteboard)\uff1a<\/strong>\u70ba\u4e86\u89e3\u6c7a\u5728\u6574\u500b\u6cbb\u7642\u904e\u7a0b\u4e2d\u8f38\u8840\u6bd4\u4f8b\u7ba1\u7406\u7684\u6311\u6230\uff0cMayo\u4f7f\u7528\u4e86\u5275\u50b7\u767d\u677f\u3002\u9019\u662f\u901a\u904e\u5728\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u4e0a\u6dfb\u52a0\u4e00\u500b\u985e\u4f3c\u767d\u677f\u7684\u88dd\u7f6e\uff0c\u5be6\u6642\u8a18\u9304\u8f38\u6ce8\u7684\u8840\u6db2\u6210\u5206\u6578\u91cf\uff0c\u5305\u62ec\u5168\u8840\u3001\u7d05\u8840\u7403\u3001\u8840\u6f3f\u3001\u8840\u5c0f\u677f\u7b49\u985e\u5225\u3002\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u6703\u96a8\u60a3\u8005\u5f9e\u6025\u8a3a\u90e8\u3001\u624b\u8853\u5ba4\u5230\u91cd\u75c7\u52a0\u8b77\u75c5\u623f\uff0c\u9019\u4f7f\u5f97\u6240\u6709\u91ab\u7642\u5718\u968a\u6210\u54e1\u90fd\u80fd\u5be6\u6642\u4e86\u89e3\u60a3\u8005\u8f38\u6ce8\u4e86\u591a\u5c11\u55ae\u4f4d\u4ee5\u53ca\u4ec0\u9ebc\u985e\u578b\u7684\u7522\u54c1\uff0c\u4e26\u66f4\u597d\u5730\u8abf\u6574\u6cbb\u7642\u65b9\u6848\u4ee5\u7dad\u6301\u9069\u7576\u7684\u8f38\u8840\u6bd4\u4f8b\uff0c\u4e5f\u53ef\u4ee5\u907f\u514d\u8de8\u90e8\u9580\u91cd\u8907\u5099\u8840\u5f62\u6210\u7684\u6d6a\u8cbb\u3002<\/p>\n\n\n

\n
\"\"
MTP\u96fb\u5b50\u8a08\u5206\u677f<\/figcaption><\/figure>\n<\/div>\n\n\n

\u9032\u968e\u7248\u7684\u5275\u50b7\u767d\u677f – MTP\u96fb\u5b50\u8a08\u5206\u677f<\/strong>
\u5275\u50b7\u767d\u677f\u662f\u4fbf\u5229\u3001\u7c21\u55ae\u64cd\u4f5c\u7684\u5718\u968a\u5354\u540c\u4f5c\u696d\u5de5\u5177\uff0c\u4f46\u4ecd\u7136\u6709\u4e9b\u7f3a\u9ede\uff1a\u9996\u5148\uff0c\u767d\u677f\u5c3a\u5bf8\u7684\u62ff\u634f\u4e0d\u6613<\/strong>\uff0c\u592a\u5c0f\u7684\u767d\u677f\u53ef\u80fd\u9020\u6210\u7d00\u9304\u7a7a\u9593\u4e0d\u8db3\uff0c\u592a\u5927\u7684\u767d\u677f\u53c8\u651c\u5e36\u4e0d\u6613\u3002\u6b64\u5916\uff0c\u767d\u677f\u5b57\u8de1\u53ef\u80fd\u4e0d\u5c0f\u5fc3\u88ab\u5857\u62b9\u3001\u6cbe\u64e6\u9020\u6210\u8cc7\u8a0a\u907a\u5931<\/strong>\u3002\u56e0\u6b64\u7f8e\u570b\u5275\u50b7\u5916\u79d1\u91ab\u5e2bDr. Alex Guerrero(MD, FACS)\u8a2d\u8a08\u51faMTP\u8a08\u5206\u677f(MTP Scorekeeper\u2122)<\/span><\/a>\u5c08\u9580\u7528\u65bc\u8ffd\u8e64\u8f38\u8840\u6bd4\u7387\u7684\u96fb\u5b50\u770b\u677f\uff0c\u4e00\u65b9\u9762\u80fd\u5920\u6d88\u5f2d\u4e0a\u8ff0\u7684\u767d\u677f\u7f3a\u9ede\uff0c\u518d\u8005\u5b83\u9084\u5177\u6709\u4ee5\u4e0b\u7279\u8272\uff1a<\/p>\n\n\n\n

    \n
  1. \u986f\u793a\u5668\u63d0\u4f9b\u9bae\u660e\u7684\u984f\u8272\u5c0d\u6bd4\u6240\u6709\u4eba\u66f4\u5bb9\u6613\u6aa2\u8996\u6578\u8840\u6db2\u88fd\u54c1\u8207\u6676\u9ad4\u6eb6\u6db2\u6578\u64da\uff1b<\/li>\n\n\n\n
  2. \u53ef\u4ee5\u5b89\u88dd\u5728\u4efb\u4f55\u7684\u9ede\u6ef4\u67b6\u6216\u662f\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u4e0a\u4e0d\u4f54\u64da\u7a7a\u9593\uff1b<\/li>\n\n\n\n
  3. \u63a1\u7528\u96fb\u6c60\u4f9b\u96fb\uff0c\u5fa9\u7526\u904e\u7a0b\u4e2d\u53ef\u4ee5\u8207\u75c5\u4eba\u5f9e\u5275\u50b7\u5ba4\u96a8\u884c\u81f3\u958b\u5200\u623f\u6216\u52a0\u8b77\u75c5\u623f\uff1b<\/li>\n\n\n\n
  4. \u8a08\u6642\u5668\u53ca\u8b66\u793a\u529f\u80fd\u63d0\u9192\u91ab\u7642\u5718\u968a\u96a8\u6642\u4fdd\u6301\u610f\u8b58\u5bdf\u89ba\u3002<\/li>\n\n\n\n
  5. \u8a18\u61b6\u529f\u80fd\uff0c\u91cd\u958b\u6a5f\u4ecd\u6703\u4fdd\u7559\u4e0a\u4e00\u6b21\u7d00\u9304<\/li>\n<\/ol>\n\n\n\n

    MTP\u96fb\u5b50\u8a08\u5206\u677f\u5728TraumaCon 2019\u6b63\u5f0f\u63a8\u51fa\u4e26\u5f15\u8d77\u4e86\u8207\u6703\u8005\u7684\u6fc3\u539a\u8208\u8da3\uff0cDr. Alex Guerrero\u8868\u793a\uff1a\u300c\u6211\u5011\u77e5\u9053\u73fe\u4ee3\u8f38\u8840\u7b56\u7565\u53ef\u4ee5\u6539\u5584\u60a3\u8005\u7684\u9810\u5f8c\uff0c\u4f46\u6211\u5011\u4e5f\u4e86\u89e3\u5be6\u52d9\u4e0a\u5f88\u96e3\u9054\u5230\u7406\u60f3\u7684\u6bd4\u4f8b\uff0c\u5728\u67d0\u4e9b\u60c5\u6cc1\u4e0b\uff0c\u9019\u4e5f\u6703\u5c0e\u81f4\u8840\u6db2\u88fd\u54c1\u7684\u6d6a\u8cbb\uff0c\u800cMTP \u8a08\u5206\u677f\u6709\u6f5b\u529b\u6539\u5584\u7d50\u679c\u4e26\u5e6b\u52a9\u5275\u50b7\u5718\u968a\u5be6\u8e10\u7406\u60f3\u7684\u8f38\u8840\u7b56\u7565\u3002<\/p>\n\n\n\n

    References<\/strong>
    1. Beckermann J, Swartz H, Albright J, Street W, Martin S, Hagen C, Linnaus M, Ciresi D.     Achieving optimal massive transfusion ratios: The trauma white board, whole blood, and liquid plasma. Real world low-tech solutions for a high stakes issue<\/a>. Injury. 2022 Sep;53(9):2974-2978. doi: 10.1016\/j.injury.2022.06.009. Epub 2022 Jun 21. PMID: 35791968.
    2.     CFR – Code of Federal Regulations Title 21 – FDA<\/a><\/p>","protected":false},"excerpt":{"rendered":"

    \u9069\u7576\u7684FFP\u3001PRBC\u548c\u8840\u5c0f\u677f\u8f38\u8840\u6bd4\u4f8b\u80fd\u5920\u964d\u4f4e\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u4f46\u50c5\u670931%\u7684\u6848\u4f8b\u9054\u5230\u76ee\u6a19\uff0c\u770bMayo Clinic\u5982\u4f55\u6539\u5584\u5176\u5927\u91cf\u8f38\u8840\u65b9\u6848<\/p>","protected":false},"author":1,"featured_media":6301,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[65],"tags":[127,483,465,468,460,467,394,102,354,111,110,96],"class_list":["post-6294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-info","tag-cosmo-medical","tag-mass-transfusion-protocol","tag-mtp","tag-468","tag-460","tag-467","tag-394","tag-102","tag-354","tag-111","tag-110","tag-96"],"jetpack_featured_media_url":"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png","jetpack_shortlink":"https:\/\/wp.me\/paJTt6-1Dw","rttpg_featured_image_url":{"full":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"landscape":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"portraits":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-221x300.png",221,300,true],"medium":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-294x400.png",294,400,true],"large":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"1536x1536":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"2048x2048":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"trp-custom-language-flag":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-9x12.png",9,12,true],"hestia-blog":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-308x240.png",308,240,true],"woocommerce_thumbnail_2x":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"woocommerce_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-230x230.png",230,230,true],"woocommerce_single":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard.png",308,419,false],"woocommerce_gallery_thumbnail":["https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2024\/01\/trauma_whiteboard-160x160.png",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":"\u9069\u7576\u7684FFP\u3001PRBC\u548c\u8840\u5c0f\u677f\u8f38\u8840\u6bd4\u4f8b\u80fd\u5920\u964d\u4f4e\u75c5\u4eba\u6b7b\u4ea1\u7387\uff0c\u4f46\u50c5\u670931%\u7684\u6848\u4f8b\u9054\u5230\u76ee\u6a19\uff0c\u770bMayo Clinic…","_links":{"self":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/6294","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=6294"}],"version-history":[{"count":24,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/6294\/revisions"}],"predecessor-version":[{"id":6329,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/posts\/6294\/revisions\/6329"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media\/6301"}],"wp:attachment":[{"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/media?parent=6294"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/categories?post=6294"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cosmomed.com.tw\/en\/wp-json\/wp\/v2\/tags?post=6294"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}