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发表时间 阅读量
Array ( [id] => 460 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/460.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest against the use of a protamine-to-heparin ratio of 1:1 or higher as protamine in excess could increase the risk of bleeding. (2C) [laiyuan] => 建议不要使用质胺与肝素的比例为 1:1 或更高，因为过量使用质胺会增加出血风险。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议不要使用质胺与肝素的比例为 1:1 或更高，因为过量使用质胺会增加出血风险。（证据等级：低；推荐强度：弱推荐）

We suggest against the use of a protamine-to-heparin ratio of 1:1 or higher as protamine in excess could increase the risk of bleeding. (2C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 461 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/461.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the dose of protamine should be calculated based on heparin concentration. (1C) [laiyuan] => 建议应根据肝素浓度计算质胺剂量。（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议应根据肝素浓度计算质胺剂量。（证据等级：低；推荐强度：强推荐）

We recommend the dose of protamine should be calculated based on heparin concentration. (1C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 462 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/462.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend fresh frozen plasma (10 mL/kg) or antithrombin supplementation in the presence of heparin resistance secondary to antithrombin deficiency. (1C) [laiyuan] => 如果因抗凝血酶缺乏导致肝素抵抗，推荐使用新鲜冰冻血浆（10mL/kg）或补充抗凝血酶。（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
如果因抗凝血酶缺乏导致肝素抵抗，推荐使用新鲜冰冻血浆（10mL/kg）或补充抗凝血酶。（证据等级：低；推荐强度：强推荐）

We recommend fresh frozen plasma (10 mL/kg) or antithrombin supplementation in the presence of heparin resistance secondary to antithrombin deficiency. (1C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 463 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/463.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => In the presence of heparin resistance and in absence of antithrombin deficiency, we suggest the administration of an additional 100 units/kg. (2C) [laiyuan] => 如果出现肝素抗性和抗凝血酶缺乏症，建议追加100u/kg的剂量。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
如果出现肝素抗性和抗凝血酶缺乏症，建议追加100u/kg的剂量。（证据等级：低；推荐强度：弱推荐）

In the presence of heparin resistance and in absence of antithrombin deficiency, we suggest the administration of an additional 100 units/kg. (2C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 464 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/464.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend an initial dose of 400 units/kg of unfractionated heparin prior to CPB initiation. (1C) [laiyuan] => 推荐在开始体外循环之前使用初始剂量为400u/kg的肝素。（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
推荐在开始体外循环之前使用初始剂量为400u/kg的肝素。（证据等级：低；推荐强度：强推荐）

We recommend an initial dose of 400 units/kg of unfractionated heparin prior to CPB initiation. (1C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 465 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/465.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend targeting an ACT > 480 sec before and throughout CPB. (1B) [laiyuan] => 推荐在体外循环（CPB）之前和整个体外循环过程中，ACT>480s。（证据等级：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
推荐在体外循环（CPB）之前和整个体外循环过程中，ACT>480s。（证据等级：中；推荐强度：强推荐）

We recommend targeting an ACT > 480 sec before and throughout CPB. (1B)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 466 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/466.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the use of whole blood activated clotting time or heparin concentration to assess heparin response in neonates and children. (1B) [laiyuan] => 推荐使用全血活化凝血时间或肝素浓度来评估新生儿和儿童对肝素的反应。（证据等级：中；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
推荐使用全血活化凝血时间或肝素浓度来评估新生儿和儿童对肝素的反应。（证据等级：中；推荐强度：强推荐）

We recommend the use of whole blood activated clotting time or heparin concentration to assess heparin response in neonates and children. (1B)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 467 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/467.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend against the use of routine ANH in patients undergoing cardiac surgery with CPB. (1C) [laiyuan] => 建议对接受体外循环心脏手术的患者不使用常规血液稀释（ANH）。（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议对接受体外循环心脏手术的患者不使用常规血液稀释（ANH）。（证据等级：低；推荐强度：强推荐）

We recommend against the use of routine ANH in patients undergoing cardiac surgery with CPB. (1C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 468 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/468.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We suggest active salvaging of CPB circuit residual blood as it may decrease the number of transfusions. (2C) [laiyuan] => 建议积极回收体外循环环路残余血，因为这样可以减少输血次数。（证据等级：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
建议积极回收体外循环环路残余血，因为这样可以减少输血次数。（证据等级：低；推荐强度：弱推荐）

We suggest active salvaging of CPB circuit residual blood as it may decrease the number of transfusions. (2C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读
Array ( [id] => 469 [catid] => 243 [title] => Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/469.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:12:40 [updatetime] => 2024-01-11 15:12:40 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2019 [guojia] => the Network for the Advancement of Patient Blood M [pdf] => [tjyjyw] => [lyyw] => We recommend the use of cell salvage in pediatric cardiac surgery in order to reduce perioperative transfusion. (1C) [laiyuan] => 为了减少围手术期输血，推荐在小儿心脏手术中使用血液回收。（证据等级：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957160 [_updatetime] => 1704957160 [_nrjc] => [_nrsh] => )
推荐意见
为了减少围手术期输血，推荐在小儿心脏手术中使用血液回收。（证据等级：低；推荐强度：强推荐）

We recommend the use of cell salvage in pediatric cardiac surgery in order to reduce perioperative transfusion. (1C)

证据评价方法：GRADE

指南质量等级：B

年份：2019

国家：the Network for the Advancement of Patient Blood M

来源 Patient Blood Management for Neonates and Children undergoing Cardiac Surgery: 2019 NATA guidelines
阅读

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