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[tjyjyw] =>
[lyyw] => We recommend a restrictive RBC, plasma and platelet transfusion strategy in the critically ill.（Evidence level: low；Recommendation grade: strong）
[laiyuan] => 我们建议重症患者采取限制性红细胞、血浆和血小板输注的策略。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957868
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)
推荐意见
我们建议重症患者采取限制性红细胞、血浆和血小板输注的策略。（证据级别：低；推荐强度：强推荐）
We recommend a restrictive RBC, plasma and platelet transfusion strategy in the critically ill.（Evidence level: low；Recommendation grade: strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
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[guojia] => the European Society of Anaesthesiology and Intens
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[tjyjyw] =>
[lyyw] => We suggest the use of a goal-directed coagulation therapy algorithm in the presence of ongoing bleeding, considering altered laboratory tests and VHA in critical illness.（Evidence level: low；Recommendation grade: weak）
[laiyuan] => 我们建议，在出现持续出血的情况下，考虑到实验室检查和危重病人黏弹性止血试验的改变，使用目标导向凝血疗法。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议，在出现持续出血的情况下，考虑到实验室检查和危重病人黏弹性止血试验的改变，使用目标导向凝血疗法。（证据级别：低；推荐强度：弱推荐）
We suggest the use of a goal-directed coagulation therapy algorithm in the presence of ongoing bleeding, considering altered laboratory tests and VHA in critical illness.（Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[pdf] =>
[tjyjyw] =>
[lyyw] => We suggest if ongoing bleeding unresponsive to multimodal coagulation therapy or wound healing defects in the critically ill to monitor FXIII and correct deficiency.（Evidence level: low；Recommendation grade: weak）
[laiyuan] => 我们建议，如果正在进行的出血对多模式凝血治疗无反应或危重患者的伤口愈合缺陷，应监测因子XIII并纠正缺陷。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议，如果正在进行的出血对多模式凝血治疗无反应或危重患者的伤口愈合缺陷，应监测因子XIII并纠正缺陷。（证据级别：低；推荐强度：弱推荐）
We suggest if ongoing bleeding unresponsive to multimodal coagulation therapy or wound healing defects in the critically ill to monitor FXIII and correct deficiency.（Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[guojia] => the European Society of Anaesthesiology and Intens
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[tjyjyw] =>
[lyyw] => We suggest a restrictive systemic administration of TXA in case of fibrinolytic shutdown in critical illness.（Evidence level: low；Recommendation grade: weak）
[laiyuan] => 我们建议对氨甲环酸进行限制性全身给药，以防危重病患者纤溶系统关闭。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议对氨甲环酸进行限制性全身给药，以防危重病患者纤溶系统关闭。（证据级别：低；推荐强度：弱推荐）
We suggest a restrictive systemic administration of TXA in case of fibrinolytic shutdown in critical illness.（Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend initiation of thromboprophylaxis after bleeding as soon as bleeding risk is overbalanced by the risk of thromboembolic complications.（Evidence level: low；Recommendation grade: strong）
[laiyuan] => 一旦出血风险超过血栓栓塞并发症的风险，我们建议在出血后开始血栓预防。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
一旦出血风险超过血栓栓塞并发症的风险，我们建议在出血后开始血栓预防。（证据级别：低；推荐强度：强推荐）
We recommend initiation of thromboprophylaxis after bleeding as soon as bleeding risk is overbalanced by the risk of thromboembolic complications.（Evidence level: low；Recommendation grade: strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1269
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => Despite altered standard coagulation test results, haemostasis may be balanced in stable chronic liver disease(CLD). （Recommendation grade: weak）
[laiyuan] => 尽管标准凝血检测结果发生了变化，但稳定的慢性肝病（CLD）患者的止血功能可能是平衡的。（推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
尽管标准凝血检测结果发生了变化，但稳定的慢性肝病（CLD）患者的止血功能可能是平衡的。（推荐强度：弱推荐）
Despite altered standard coagulation test results, haemostasis may be balanced in stable chronic liver disease(CLD). （Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1270
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => Mild-to-moderate prolongation of the preprocedural prothrombin time (PT) and INR and moderate thrombocytopenia do not predict bleeding in patients with CLD. （Recommendation grade: weak）
[laiyuan] => 轻度到中度的术前凝血酶原时间（PT）和INR延长以及中度血小板减少并不能预测慢性肝病患者的出血情况。（推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
轻度到中度的术前凝血酶原时间（PT）和INR延长以及中度血小板减少并不能预测慢性肝病患者的出血情况。（推荐强度：弱推荐）
Mild-to-moderate prolongation of the preprocedural prothrombin time (PT) and INR and moderate thrombocytopenia do not predict bleeding in patients with CLD. （Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1271
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => Fibrinogen level assessment is suggested in patients with advanced liver disease undergoing invasive procedures. Evidence level: low；Recommendation grade: weak）
[laiyuan] => 建议对接受侵入性手术的晚期肝病患者进行纤维蛋白原水平评估。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议对接受侵入性手术的晚期肝病患者进行纤维蛋白原水平评估。（证据级别：低；推荐强度：弱推荐）
Fibrinogen level assessment is suggested in patients with advanced liver disease undergoing invasive procedures. Evidence level: low；Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => In acute liver failure, elevated INR does not predict bleeding risk. （Recommendation grade: weak）
[laiyuan] => 在急性肝衰竭患者中，国际标准化比值升高并不能预测出血风险。（推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
在急性肝衰竭患者中，国际标准化比值升高并不能预测出血风险。（推荐强度：弱推荐）
In acute liver failure, elevated INR does not predict bleeding risk. （Recommendation grade: weak）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
Array
(
[id] => 1273
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
[thumb] =>
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[tjqd] =>
[nianfen] => 2023
[guojia] => the European Society of Anaesthesiology and Intens
[pdf] =>
[tjyjyw] =>
[lyyw] => We recommend that, in acute liver failure, moderately elevated INR should not be corrected before invasive procedures, with the exception of intracranial pressure monitor insertion.Evidence level: low；Recommendation grade: strong）
[laiyuan] => 我们推荐，在急性肝衰竭患者中，除颅内压检测插入外，INR中度升高的患者在进行侵入性操作前不应进行校正。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957868
[_updatetime] => 1704957868
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们推荐，在急性肝衰竭患者中，除颅内压检测插入外，INR中度升高的患者在进行侵入性操作前不应进行校正。（证据级别：低；推荐强度：强推荐）
We recommend that, in acute liver failure, moderately elevated INR should not be corrected before invasive procedures, with the exception of intracranial pressure monitor insertion.Evidence level: low；Recommendation grade: strong）
证据评价方法：GRADE
指南质量等级：B
年份：2023
国家：the European Society of Anaesthesiology and Intens
