{"id":6421,"date":"2024-05-22T13:40:43","date_gmt":"2024-05-22T05:40:43","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=6421"},"modified":"2024-05-22T13:41:44","modified_gmt":"2024-05-22T05:41:44","slug":"surgical-transfusions-which-is-better","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/surgical-transfusions-which-is-better\/","title":{"rendered":"Surgical Transfusions: Which is Better, Stored Blood or Salvaged Blood?"},"content":{"rendered":"

\u73fe\u4ee3\u8840\u6db2\u5132\u5b58\u6280\u8853\u5c07\u8840\u6db2\u7684\u4fdd\u5b58\u671f\u9650\u5ef6\u9577\u81f342\u5929\uff0c\u8b93\u6211\u5011\u80fd\u5920\u9748\u6d3b\u5730\u4f7f\u7528\u8840\u6db2\uff0c\u5118\u7ba1\u5132\u5b58\u6280\u8853\u9032\u6b65\uff0c\u9577\u671f\u5132\u5b58\u7684\u7d05\u8840\u7403(RBC)\u537b\u53ef\u80fd\u589e\u52a0\u8853\u5f8c\u4f75\u767c\u75c7\u548c\u6b7b\u4ea1\u98a8\u96aa\uff0c\u56e0\u70ba\u300e\u5132\u5b58\u640d\u50b7\u300f\u6703\u6539\u8b8a\u5176\u5f62\u614b\u548c\u751f\u5316\u6027\u8cea\uff0c\u5c24\u5176\u662f2,3-DPG\u7684\u6e1b\u5c11\uff0c\u964d\u4f4e\u6c27\u6c23\u91cb\u653e\u6548\u7387\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u81ea\u9ad4\u56de\u6536\u8840\u907f\u514d\u4e86\u9019\u4e9b\u640d\u50b7\uff0c\u56e0\u70ba\u7d05\u8840\u7403\u53ea\u5728\u9ad4\u5916\u77ed\u66ab\u505c\u7559\uff0c\u4fdd\u6301\u6b63\u5e38\u76842,3-DPG\u6c34\u5e73\u3002<\/p>\n\n\n\n

\u81ea\u9ad4\u56de\u6536\u8840\u6db2\uff1a\u512a\u52e2\u660e\u986f<\/strong><\/strong><\/p>\n\n\n\n

2015\u5e74\u7f8e\u570bJohns Hopkins Hospital\u63a2\u8a0e\u624b\u8853\u904e\u7a0b\u4e2d\u7684\u4e0d\u540c\u8f38\u8840\u65b9\u6cd5\uff0c\u5c0d\u75c5\u4eba\u8840\u6db2\u4e2d2,3-DPG\u6fc3\u5ea6\u7684\u5f71\u97ff\uff0c\u7814\u7a76\u4e2d\u6bd4\u8f03\u4e86\u5169\u7a2e\u4e0d\u540c\u7684\u8840\u6db2\uff1a\u5132\u5b58\u8840\u548c\u81ea\u9ad4\u56de\u6536\u8840\u3002\u5132\u5b58\u8840\u662f\u5f9e\u8840\u5eab\u62ff\u4f86\u7684\uff0c\u901a\u5e38\u5df2\u5b58\u653e\u4e00\u6bb5\u6642\u9593\uff1b\u800c\u81ea\u9ad4\u56de\u6536\u8840\u5247\u662f\u624b\u8853\u904e\u7a0b\u4e2d\u81ea\u9ad4\u8840\u6db2\u56de\u6536\u7cfb\u7d71Cell Saver<\/a>\u8655\u7406\u75c5\u4eba\u6d41\u5931\u7684\u201d\u65b0\u9bae\u201d\u8840\u6db2\u30021<\/a><\/sup><\/p>\n\n\n

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\u5132\u5b58\u8840\u76842,3-DPG\u6fc3\u5ea6\u6e1b\u5c11\u7d0490%\u3001\u6c27\u5408\u8840\u7d05\u7d20\u98fd\u548c\u66f2\u7dda\u5de6\u79fb\uff1b\u81ea\u9ad4\u56de\u6536\u8840\u5e7e\u4e4e\u7121\u5dee\u75702<\/a><\/sup><\/figcaption><\/figure>\n<\/div>\n\n\n

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\u7814\u7a76\u9084\u767c\u73fe\uff0c\u8f38\u6ce8\u5132\u5b58\u8840\u7684\u75c5\u4eba\uff0c\u8853\u5f8c\u9700\u8981\u5927\u7d04\u4e09\u5929\u7684\u6642\u9593\uff0c2,3-DPG\u6fc3\u5ea6\u624d\u6703\u9010\u6f38\u6062\u5fa9\u5230\u624b\u8853\u524d\u7684\u6c34\u5e73\u3002\u800c\u50c5\u8f38\u6ce8\u81ea\u9ad4\u56de\u6536\u8840\u7684\u75c5\u4eba\uff0c\u8853\u5f8c2,3-DPG\u6fc3\u5ea6\u5e7e\u4e4e\u6c92\u6709\u8b8a\u5316\uff0c\u8868\u793a\u9019\u4e9b\u8840\u6db2\u80fd\u99ac\u4e0a\u91cb\u653e\u6c27\u6c23\uff0c\u5e6b\u52a9\u75c5\u4eba\u6062\u5fa9\u3002<\/p>\n\n\n\n

\u9019\u4e9b\u7d50\u679c\u986f\u793a\uff0c\u81ea\u9ad4\u56de\u6536\u8840\u5728\u624b\u8853\u4e2d\u53ef\u80fd\u662f\u4e00\u500b\u66f4\u597d\u7684\u9078\u64c7\uff0c\u56e0\u70ba\u5b83\u80fd\u907f\u514d\u5132\u5b58\u8840\u5e36\u4f86\u7684\u4e00\u4e9b\u4e0d\u5229\u5f71\u97ff\uff0c\u7279\u5225\u662f\u5728\u9700\u8981\u5927\u91cf\u8f38\u8840\u7684\u624b\u8853\u4e2d\uff0c\u81ea\u9ad4\u8840\u56de\u6536\u53ef\u80fd\u5c0d\u75c5\u4eba\u7684\u6062\u5fa9\u66f4\u6709\u5229\u3002<\/p>\n\n\n

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\u8f38\u6ce8\u5132\u5b58\u8840\u7684\u75c5\u4eba\u5728\u8853\u5f8c\u4e09\u59292,3-DPG\u6fc3\u5ea6\u4ecd\u672a\u8fd4\u56de\u8853\u524d\u6c34\u5e731<\/a><\/sup><\/figcaption><\/figure>\n<\/div>\n\n
  1. Scott AV,\u00a0Nagababu\u00a0E, Johnson DJ,\u00a0Kebaish\u00a0KM, Lipsitz JA, Dwyer IM, Zuckerberg GS,\u00a0Barodka\u00a0VM, Berkowitz DE, Frank SM. 2,3-Diphosphoglycerate Concentrations in Autologous Salvaged Versus Stored Red Blood Cells and in Surgical Patients After\u00a0Transfusion<\/a>. Anesth\u00a0Analg. 2016 Mar;122(3):616-623.\u00a0 \u21a9\ufe0e<\/a><\/li>
  2. Sikorski RA,\u00a0Rizkalla\u00a0NA, Yang WW, Frank SM. Autologous blood salvage in the era of patient blood management<\/a>. Vox Sang. 2017 Aug;112(6):499-510.\u00a0 \u21a9\ufe0e<\/a><\/li>
  3. Scott AV,\u00a0Nagababu\u00a0E, Johnson DJ,\u00a0Kebaish\u00a0KM, Lipsitz JA, Dwyer IM, Zuckerberg GS,\u00a0Barodka\u00a0VM, Berkowitz DE, Frank SM. 2,3-Diphosphoglycerate Concentrations in Autologous Salvaged Versus Stored Red Blood Cells and in Surgical Patients After\u00a0Transfusion<\/a>. Anesth\u00a0Analg. 2016 Mar;122(3):616-623.\u00a0 \u21a9\ufe0e<\/a><\/li><\/ol>\n\n
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    Haemonetics Cell Saver\u81ea\u9ad4\u8840\u6db2\u56de\u6536\u7cfb\u7d71<\/a><\/figcaption><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"

    \u9577\u671f\u5132\u5b58\u7684\u7d05\u8840\u7403\u56e0\u70ba\u300e\u5132\u5b58\u640d\u50b7\u300f\u5c0e\u81f42,3-DPG\u7684\u6e1b\u5c11\uff0c\u964d\u4f4e\u6c27\u6c23\u91cb\u653e\u6548\u7387\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u81ea\u9ad4\u56de\u6536\u8840\u53ea\u5728\u9ad4\u5916\u77ed\u66ab\u505c\u7559\uff0c\u4ecd\u4fdd\u6301\u6b63\u5e38\u76842,3-DPG\u6c34\u5e73\u3002<\/p>","protected":false},"author":1,"featured_media":6433,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":"[{\"content\":\"Scott AV,\u00a0Nagababu\u00a0E, Johnson DJ,\u00a0Kebaish\u00a0KM, Lipsitz JA, Dwyer IM, Zuckerberg GS,\u00a0Barodka\u00a0VM, Berkowitz DE, Frank SM. 2,3-Diphosphoglycerate Concentrations in Autologous Salvaged Versus Stored Red Blood Cells and in Surgical Patients After\u00a0Transfusion<\/a>. Anesth\u00a0Analg. 2016 Mar;122(3):616-623.\u00a0\",\"id\":\"3434212a-5147-4902-8265-00270aa4606e\"},{\"content\":\"Sikorski RA,\u00a0Rizkalla\u00a0NA, Yang WW, Frank SM. Autologous blood salvage in the era of patient blood management<\/a>. Vox Sang. 2017 Aug;112(6):499-510.\u00a0\",\"id\":\"c050476f-b5f9-45ac-a31f-0b1e9970f081\"},{\"content\":\"Scott AV,\u00a0Nagababu\u00a0E, Johnson DJ,\u00a0Kebaish\u00a0KM, Lipsitz JA, Dwyer IM, Zuckerberg GS,\u00a0Barodka\u00a0VM, Berkowitz DE, Frank SM. 2,3-Diphosphoglycerate Concentrations in Autologous Salvaged Versus Stored Red Blood Cells and in Surgical Patients After\u00a0Transfusion<\/a>. 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