Array
(
    [id] => 470
    [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/470.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 conventional ultrafiltration or ≥ 10 min of modified ultrafiltration for neonates and infants undergoing cardiac surgery with CPB. (1B)
    [laiyuan] => 建议对接受体外循环心脏手术的新生儿和婴儿进行常规超滤或≥10min的改良超滤 (证据等级:中;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新生儿和婴儿进行常规超滤或≥10min的改良超滤 (证据等级:中;推荐强度:强推荐)										
										   We recommend conventional ultrafiltration or ≥ 10 min of modified ultrafiltration for neonates and infants undergoing cardiac surgery with 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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 471
    [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/471.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 colloids (e.g. albumin) should be preferred over crystalloids for clear priming in children undergoing cardiac surgery. (1C)
    [laiyuan] => 推荐对于接受心脏手术的儿童,预冲液胶体(如白蛋白)应优于晶体液。(证据等级:低;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐对于接受心脏手术的儿童,预冲液胶体(如白蛋白)应优于晶体液。(证据等级:低;推荐强度:强推荐)										
										   We recommend colloids (e.g. albumin) should be preferred over crystalloids for clear priming in children undergoing cardiac surgery. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 472
    [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/472.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 the addition of red blood cells to maintain a hematocrit > 24% during CPB based on the estimation of the degree of hemodilution related to CPB prime and cardioplegia. (2C)
    [laiyuan] => 根据体外循环预冲液和停跳液对血液稀释程度的评估,我们建议在体外循环期间补充红细胞,以保持血细胞比容大于24%。(证据等级:低;推荐强度:弱推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										根据体外循环预冲液和停跳液对血液稀释程度的评估,我们建议在体外循环期间补充红细胞,以保持血细胞比容大于24%。(证据等级:低;推荐强度:弱推荐)										
										   We suggest the addition of red blood cells to maintain a hematocrit > 24% during CPB based on the estimation of the degree of hemodilution related to CPB prime and cardioplegia. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 473
    [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/473.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 the addition of fresh frozen plasma to the CPB prime in neonates (< 30 days) undergoing cardiac surgery with cardiopulmonary bypass. (2C)
    [laiyuan] => 建议对接受心肺旁路手术的新生儿(小于30天)在体外循环预冲液中加新鲜冰冻血浆(FFP)。(证据等级:低;推荐强度:弱推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										建议对接受心肺旁路手术的新生儿(小于30天)在体外循环预冲液中加新鲜冰冻血浆(FFP)。(证据等级:低;推荐强度:弱推荐)										
										   We suggest the addition of fresh frozen plasma to the CPB prime in neonates (< 30 days) undergoing cardiac surgery with cardiopulmonary bypass. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 474
    [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/474.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 implementation of miniaturized CPB for neonates and infants in order to reduce the effects of hemodilution and likelihood of transfusion. (1C)
    [laiyuan] => 建议对新生儿和婴儿实现体外循环小型化,以减少血液稀释的影响和输血的可能性。(证据等级:低;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										建议对新生儿和婴儿实现体外循环小型化,以减少血液稀释的影响和输血的可能性。(证据等级:低;推荐强度:强推荐)										
										   We recommend the implementation of miniaturized CPB for neonates and infants in order to reduce the effects of hemodilution and likelihood of 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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 475
    [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/475.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] => Lysine analogs (either TXA or EACA) should be preferred over aprotinin in neonates and children undergoing cardiac surgery with CPB. (2C)
    [laiyuan] => 对于接受体外循环心脏手术的新生儿和儿童,应首选赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA)),而不是阿普罗宁。(证据等级:低;推荐强度:弱推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										对于接受体外循环心脏手术的新生儿和儿童,应首选赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA)),而不是阿普罗宁。(证据等级:低;推荐强度:弱推荐)										
										   Lysine analogs (either TXA or EACA) should be preferred over aprotinin in neonates and children undergoing cardiac surgery with CPB. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 476
    [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/476.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 administration of high doses of lysine analogs (either TXA or EACA) due to the risk of clinical seizures. (1C)
    [laiyuan] => 由于存在临床癫痫发作的风险,建议不要使用大剂量赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA))。(证据等级:低;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										由于存在临床癫痫发作的风险,建议不要使用大剂量赖氨酸类似物(氨甲环酸(TXA)或氨基乙酸(EACA))。(证据等级:低;推荐强度:强推荐)										
										   We recommend against the administration of high doses of lysine analogs (either TXA or EACA) due to the risk of clinical seizures. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 477
    [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/477.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 prophylactic administration of lysine analogs (either TXA or EACA) for all neonates and children undergoing surgery with CPB in order to reduce perioperative bleeding and transfusion. (1B)
    [laiyuan] => 推荐所有接受体外循环(CPB)手术的新生儿和儿童预防性使用赖氨酸类似物(氨甲环酸或氨基己酸),以减少围手术期出血和输血。(证据等级:中;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										推荐所有接受体外循环(CPB)手术的新生儿和儿童预防性使用赖氨酸类似物(氨甲环酸或氨基己酸),以减少围手术期出血和输血。(证据等级:中;推荐强度:强推荐)										
										   We recommend prophylactic administration of lysine analogs (either TXA or EACA) for all neonates and children undergoing surgery with CPB in order to reduce perioperative bleeding and transfusion. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 478
    [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/478.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 routine preoperative assessment of coagulation tests (e.g. aPTT, PTT, fibrinogen level) and platelet count in infants and children without a bleeding history prior to cardiac surgery. (1C)
    [laiyuan] => 不推荐在心脏手术前对无出血史的婴幼儿进行常规术前凝血检测(如 aPTT、PTT、纤维蛋白原水平)和血小板计数评估 。(证据等级:低;推荐强度:强推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										不推荐在心脏手术前对无出血史的婴幼儿进行常规术前凝血检测(如 aPTT、PTT、纤维蛋白原水平)和血小板计数评估 。(证据等级:低;推荐强度:强推荐)										
										   We recommend against routine preoperative assessment of coagulation tests (e.g. aPTT, PTT, fibrinogen level) and platelet count in infants and children without a bleeding history prior to cardiac surgery. (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
    							 
    							
								
    						 
                                                
                    Array
(
    [id] => 479
    [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/479.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 considering preoperative EPO only in specific needy situations (e.g. Jehovah Witnesses). (2C)
    [laiyuan] => 建议只有在特殊情况下才考虑术前促红细胞生成素(EPO)。(证据等级:低;推荐强度:弱推荐)
    [znzldj] => B
    [_inputtime] => 1704957160
    [_updatetime] => 1704957160
    [_nrjc] => 
    [_nrsh] => 
)
                
    						
    							推荐意见
									
										建议只有在特殊情况下才考虑术前促红细胞生成素(EPO)。(证据等级:低;推荐强度:弱推荐)										
										   We suggest considering preoperative EPO only in specific needy situations (e.g. Jehovah Witnesses). (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