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[lyyw] => We recommend against pre-emptive fibrinogen replacement; however, in ongoing postpartum haemorrhage with hypofibrinogenaemia, we recommend fibrinogen replacement. （Evidence level: moderate；Recommendation grade:strong）
[laiyuan] => 我们不建议预先进行纤维蛋白原替代;然而，对于持续的产后出血合并低纤维蛋白原血症，我们建议进行纤维蛋白原替代治疗。（证据级别：中；推荐等级：强）
[znzldj] => B
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推荐意见
我们不建议预先进行纤维蛋白原替代;然而，对于持续的产后出血合并低纤维蛋白原血症，我们建议进行纤维蛋白原替代治疗。（证据级别：中；推荐等级：强）
We recommend against pre-emptive fibrinogen replacement; however, in ongoing postpartum haemorrhage with hypofibrinogenaemia, we recommend fibrinogen replacement. （Evidence level: moderate；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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(
[id] => 1383
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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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[lyyw] => Fibrinogen substitution in women with ongoing postpartum haemorrhage and a fibrinogen level above 2 g l 1 or FIBTEM A5 greater than 12 mm is not indicated. （Evidence level: moderate；Recommendation grade:strong）
[laiyuan] => 对于持续的产后出血且纤维蛋白原水平高于2g或FIBTEM A5>12mm的妇女，不建议使用纤维蛋白原替代。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于持续的产后出血且纤维蛋白原水平高于2g或FIBTEM A5>12mm的妇女，不建议使用纤维蛋白原替代。（证据级别：中；推荐强度：强推荐）
Fibrinogen substitution in women with ongoing postpartum haemorrhage and a fibrinogen level above 2 g l 1 or FIBTEM A5 greater than 12 mm is not indicated. （Evidence level: moderate；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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[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[lyyw] => In severe postpartum haemorrhage, we suggest a VHAguided intervention protocol.（Evidence level: low；Recommendation grade:weak）
[laiyuan] => 对于严重的产后出血，我们建议采用介入治疗方案。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于严重的产后出血，我们建议采用介入治疗方案。（证据级别：低；推荐强度：弱推荐）
In severe postpartum haemorrhage, we suggest a VHAguided intervention protocol.（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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[lyyw] => We recommend the administration of TXA in postpartum haemorrhage at a dose of 1 g intravenously as soon as possible within 3 h, which can be repeated if bleeding continues. （Evidence level: moderate；Recommendation grade:strong）
[laiyuan] => 建议产后出血时在3 h内尽早静脉滴注TXA 1 g，如仍有出血可重复给药。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
建议产后出血时在3 h内尽早静脉滴注TXA 1 g，如仍有出血可重复给药。（证据级别：中；推荐强度：强推荐）
We recommend the administration of TXA in postpartum haemorrhage at a dose of 1 g intravenously as soon as possible within 3 h, which can be repeated if bleeding continues. （Evidence level: moderate；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] => 1386
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjyjyw] =>
[lyyw] => We suggest that TXA be considered before high-risk caesarean section and vaginal deliveries or cases of antepartum bleeding. （Evidence level: moderate；Recommendation grade:weak）
[laiyuan] => 我们建议在高危剖宫产和阴道分娩或产前出血病例之前考虑使用TXA。（证据级别：中；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们建议在高危剖宫产和阴道分娩或产前出血病例之前考虑使用TXA。（证据级别：中；推荐强度：弱推荐）
We suggest that TXA be considered before high-risk caesarean section and vaginal deliveries or cases of antepartum bleeding. （Evidence level: moderate；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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[lyyw] => We suggest that administration of rFVIIa can be considered for life-threatening postpartum haemorrhage, which cannot be stopped by conventional, surgical or interventional radiological means and/or when comprehensive coagulation therapy fails. （Evidence level: low；Recommendation grade:weak）
[laiyuan] => 对于常规、手术或介入治疗无效或综合凝血治疗无效的危及生命的产后出血，可考虑给予rFVIIa（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
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)
推荐意见
对于常规、手术或介入治疗无效或综合凝血治疗无效的危及生命的产后出血，可考虑给予rFVIIa（证据级别：低；推荐强度：弱推荐）
We suggest that administration of rFVIIa can be considered for life-threatening postpartum haemorrhage, which cannot be stopped by conventional, surgical or interventional radiological means and/or when comprehensive coagulation therapy fails. （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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[tjyjyw] =>
[lyyw] => We recommend against a prophylactic/general use of rFVIIa in postpartum haemorrhage because of increased risk of fatal thrombosis. （Evidence level: low；Recommendation grade:strong）
[laiyuan] => 我们不建议预防性或一般使用rFVIIa治疗产后出血，因为会增加致死性血栓形成的风险。（证据级别：低；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
我们不建议预防性或一般使用rFVIIa治疗产后出血，因为会增加致死性血栓形成的风险。（证据级别：低；推荐强度：强推荐）
We recommend against a prophylactic/general use of rFVIIa in postpartum haemorrhage because of increased risk of fatal thrombosis. （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
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[id] => 1389
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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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[tjyjyw] =>
[lyyw] => For reversal of VKA-associated nontraumatic intracranial bleeding, PCC is recommended. （Evidence level: moderate；Recommendation grade:strong）
[laiyuan] => 对于逆转VKA相关的非创伤性颅内出血，推荐使用PCC。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
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)
推荐意见
对于逆转VKA相关的非创伤性颅内出血，推荐使用PCC。（证据级别：中；推荐强度：强推荐）
For reversal of VKA-associated nontraumatic intracranial bleeding, PCC is recommended. （Evidence level: moderate；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
(
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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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[lyyw] => For reversal of VKA-associated nontraumatic intracranial bleeding, we recommend against plasma transfusion. （Evidence level: moderate；Recommendation grade:strong）
[laiyuan] => 对于逆转VKA相关的非创伤性颅内出血，不推荐输注血浆。（证据级别：中；推荐强度：强推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
[_nrsh] =>
)
推荐意见
对于逆转VKA相关的非创伤性颅内出血，不推荐输注血浆。（证据级别：中；推荐强度：强推荐）
For reversal of VKA-associated nontraumatic intracranial bleeding, we recommend against plasma transfusion. （Evidence level: moderate；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] => 1391
[catid] => 297
[title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
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[tjyjyw] =>
[lyyw] => Intracranial surgery can be safely performed in the presence of low dose aspirin. （Evidence level: low；Recommendation grade:weak）
[laiyuan] => 小剂量阿司匹林可以安全实施颅内手术。（证据级别：低；推荐强度：弱推荐）
[znzldj] => B
[_inputtime] => 1704957872
[_updatetime] => 1704957872
[_nrjc] =>
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)
推荐意见
小剂量阿司匹林可以安全实施颅内手术。（证据级别：低；推荐强度：弱推荐）
Intracranial surgery can be safely performed in the presence of low dose aspirin. （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
