{"id":6331,"date":"2024-02-29T17:02:12","date_gmt":"2024-02-29T09:02:12","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=6331"},"modified":"2024-03-01T06:23:02","modified_gmt":"2024-02-29T22:23:02","slug":"the-most-widely-used-rapid-infusion-system-among-pediatric-trauma-programs","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/the-most-widely-used-rapid-infusion-system-among-pediatric-trauma-programs\/","title":{"rendered":"The Most Widely Used Rapid Infusion System Among Pediatric Trauma Programs"},"content":{"rendered":"
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Image by wavebreakmedia_micro on Freepik<\/figcaption><\/figure>\n<\/div>\n\n\n

\u53ca\u6642\u8f38\u8840\u8207\u63d0\u9ad8\u5b58\u6d3b\u7387\u548c\u6e1b\u5c11\u4f4f\u9662\u60a3\u75c5\u7387\u6709\u95dc\uff0c\u7136\u800c\u73fe\u5be6\u4e2d\u5b58\u5728\u8a31\u591a\u56e0\u7d20\u53ef\u80fd\u5f71\u97ff\u7372\u5f97\u8840\u54c1\u4e26\u5c07\u5176\u53ca\u6642\u8f38\u6ce8\u7d66\u60a3\u8005\u7684\u901f\u5ea6\uff0c\u5305\u62ec\u8840\u54c1\u5b58\u5132\u7684\u4f4d\u7f6e\u3001\u7372\u53d6\u8840\u54c1\u6240\u9700\u7684\u7a0b\u5e8f\u6b65\u9a5f\u3001\u8f38\u6ce8\u8840\u54c1\u7684\u901f\u5ea6\uff0c\u4ee5\u53ca\u8ffd\u8e64\u5ef6\u9072\u8f38\u8840\u7684\u539f\u56e0\u3002<\/p>\n\n\n\n

2022\u5e74\u7f8e\u570b\u83ef\u76db\u9813\u570b\u5bb6\u5152\u7ae5\u91ab\u5b78\u4e2d\u5fc3(Children’s National Hospital)\u767c\u9001\u4e00\u4efd\u554f\u5377\u8abf\u67e5\u5404\u5152\u7ae5\u5275\u50b7\u5b78\u6703\u6703\u54e1(Pediatric Trauma Society Members)\u5728\u5152\u7ae5\u5275\u50b7\u8f38\u8840\u65b9\u9762\u7684\u73fe\u884c\u4f5c\u6cd51<\/sup>\uff0c\u5305\u542b\uff1a\u5728\u6025\u8a3a\u90e8\u662f\u5426\u8a2d\u6709\u8840\u6db2\u5132\u5b58\u51b0\u7bb1\u3001\u6240\u4f7f\u7528\u7684\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u54c1\u724c\u3001\u662f\u5426\u8ffd\u8e64\u56db\u9805\u8f38\u8840\u7e3e\u6548\u6307\u6a19\uff0c\u4ee5\u53ca\u6025\u8a3a\u90e8\u662f\u5426\u8a2d\u6709\u9304\u5f71\u56de\u653e\u7cfb\u7d71\u3002<\/p>\n\n\n\n

\u8a72\u8abf\u67e5\u7e3d\u8a08\u6536\u5230\u4f86\u81ea77\u500b\u6a5f\u69cb\u7684137\u4efd\u56de\u8986\u3002\u7d50\u679c\u986f\u793a\u5927\u591a\u6578\u7684\u6025\u8a3a\u5ba4\u90fd\u5177\u5099\u8840\u5eab\u51b0\u7bb1\uff0c\u4f46\u50c5\u6709\u534a\u6578\u6709\u5b58\u653e\u7d05\u8840\u7403\u4ee5\u5916\u7684\u8840\u54c1\uff1b\u7576\u9700\u8981\u5feb\u901f\u8f38\u6ce8\u8840\u6db2\u7522\u54c1\u6642\uff0c\u5927\u591a\u6578\u6a5f\u69cb\u4f7f\u7528\u7684\u662f\u8c9d\u723e\u66fc\u7279\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71(Belmont Rapid Infuser)<\/a>\uff1b\u9ad8\u7b49\u7d1a\u7684\u91ab\u7642\u6a5f\u69cb\u8f03\u53ef\u80fd\u5728\u6025\u8a3a\u90e8\u8a2d\u7f6e\u6709\u9304\u5f71\u56de\u653e\u7cfb\u7d71\uff0c\u9304\u5f71\u56de\u653e\u6709\u5229\u65bc\u66f4\u6e96\u78ba\u5730\u8b58\u5225\u51fa\u5ef6\u9072\u8f38\u8840\u7684\u539f\u56e0\uff1b\u7e3e\u6548\u6307\u6a19\u65b9\u9762\uff0c\u5927\u591a\u6578\u6a5f\u69cb\u8ffd\u8e64\u4e86\u90e8\u5206\u6307\u6a19\uff0c\u4f46\u670911\u500b\u6a5f\u69cb\u672a\u8ffd\u8e64\u4efb\u4f55\u6307\u6a19\u3002<\/p>\n\n\n\n

\u9805\u76ee<\/td>\u6578\u91cf<\/td><\/tr>
\u6025\u8a3a\u90e8\u6709\u5c08\u9580\u7528\u65bc\u5b58\u653e\u8840\u54c1\u7684\u51b0\u7bb1<\/td>46(59.7%)<\/td><\/tr>
\u51b0\u7bb1\u5b58\u653e\u7684\u8840\u54c1\u7a2e\u985e\uff1a<\/td><\/td><\/tr>
pRBCs<\/td>22(48.9%)<\/td><\/tr>
Whole Blood<\/td>2(4.4%)<\/td><\/tr>
pRBCs + Whole Blood<\/td>4(8.9%)<\/td><\/tr>
pRBCs + Plasma<\/td>10(22.2%)<\/td><\/tr>
pRBCs + Plasma + Whole Blood<\/td>5(11.1%)<\/td><\/tr>
pRBCs + Plasma + Whole Blood + Platelets<\/td>2(4.4%)<\/td><\/tr>
\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u54c1\u724c\uff1a<\/td><\/td><\/tr>
Level 1<\/td>26(33.8%)<\/td><\/tr>
Ranger<\/td>2(2.6%)<\/td><\/tr>
Belmont<\/td>45(58.4%)<\/td><\/tr>
Thermacor<\/td>1(1.3%)<\/td><\/tr>
Life Flow<\/td>3(3.9%)<\/td><\/tr>
\u7e3e\u6548\u6307\u6a19\uff1a<\/td><\/td><\/tr>
Patient arrival to blood transfusion decision<\/td>22(29.7%)<\/td><\/tr>
Patient arrival to blood transfusion<\/td>48(64.9%)<\/td><\/tr>
Blood transfusion decision to blood transfusion<\/td>27(36.5%)<\/td><\/tr>
Blood transfusion delays<\/td>57(77.0%)<\/td><\/tr>
Other<\/td>4(5.4%)<\/td><\/tr>
\u5177\u5099\u9304\u5f71\u56de\u653e\u7cfb\u7d71<\/td>31(40.3%)<\/td><\/tr><\/tbody><\/table>
\u8cc7\u6599\u4f86\u6e90\uff1aPediatr Emer Care 2024;40: 124\u2013127<\/figcaption><\/figure>\n\n\n\n

\u7576\u51fa\u8840\u901f\u7387\u8f03\u5feb\u6642\uff0c\u4f9d\u8cf4\u91cd\u529b\u7684\u8f38\u8840\u65b9\u5f0f\u662f\u4e0d\u8db3\u5920\u7684\u3002\u4e00\u4e9b\u4fbf\u5b9c\u7684\u7b56\u7565\u6216\u8a31\u53ef\u4ee5\u5c07\u8f38\u6ce8\u901f\u7387\u63d0\u9ad8\u5230\u6bd4\u55ae\u7d14\u91cd\u529b\u8f38\u6ce8\u66f4\u5feb\uff0c\u5305\u62ec\u4f7f\u7528\u91dd\u7b52\u9032\u884c\u624b\u52d5\u63a8\u62c9\u3001\u52a0\u58d3\u888b\u6216\u662f\u624b\u52d5\u64e0\u58d3\u8840\u888b\u3002\u4f46\u5728\u5be6\u969b\u61c9\u7528\u4e0a\uff0c\u9019\u4e9b\u7b56\u7565\u53d7\u5230\u8840\u7ba1\u5c0e\u7ba1\u7684\u5927\u5c0f\u548c\u4f4d\u7f6e\u3001\u96a8\u8457\u6642\u9593\u63a8\u79fb\u7684\u624b\u90e8\u75b2\u52de\u3001\u6e96\u78ba\u8ffd\u8e64\u8f38\u6db2\u91cf\u7684\u6311\u6230\u4ee5\u53ca\u76e3\u6e2c\u7ba1\u8def\u6c23\u9ad4\u7684\u56f0\u96e3\u7b49\u9650\u5236\u3002\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71\u53ef\u4ee5\u89e3\u6c7a\u9019\u4e9b\u9650\u5236\uff0c\u540c\u6642\u63d0\u4f9b\u66f4\u9ad8\u7684\u8f38\u6ce8\u901f\u7387\uff0c\u4e26\u5c07\u51b7\u85cf\u7684\u8840\u6db2\u7522\u54c1\u52a0\u71b1\u81f3\u6b63\u5e38\u9ad4\u6eab\u3002<\/p>\n\n\n

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\u5168\u7f8e\u5152\u7ae5\u5275\u50b7\u5354\u6703\u6700\u591a\u4eba\u9078\u7528\u7684\u5feb\u901f\u8f38\u6db2\u7cfb\u7d71 – Belmont Rapid Infuser<\/figcaption><\/figure>\n<\/div>\n\n\n

References<\/strong>
1. Sullivan, Travis M. MD; Sippel, Genevieve J. BA; Gestrich-Thompson, Waverly V. BS; Burd, Randall S. MD, PhD. Strategies to Obtain and Deliver Blood Products Into Critically Injured Children: A Survey of Pediatric Trauma Society Members.<\/a> Pediatric Emergency Care 40(2):p 124-127, February 2024. | DOI: 10.1097\/PEC.0000000000003118<\/p>","protected":false},"excerpt":{"rendered":"

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