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发表时间 阅读量
Array ( [id] => 1288 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1288.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => We suggest a restrictive RBC transfusion strategy as in non-COVID-19 patients.（Evidence level: low；Recommendation grade: weak） [laiyuan] => 我们建议对非新冠肺炎患者采取限制性红细胞输注策略。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957868 [_updatetime] => 1704957868 [_nrjc] => [_nrsh] => )
推荐意见
我们建议对非新冠肺炎患者采取限制性红细胞输注策略。（证据级别：低；推荐强度：弱推荐）

We suggest a restrictive RBC transfusion strategy as in non-COVID-19 patients.（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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1289 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1289.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients recovered from COVID-19 and free of postCOVID-19 symptoms, we suggest management of severe peri-operative bleeding as in non-COVID-19 patients.（Evidence level: low；Recommendation grade: weak） [laiyuan] => 对于已从新冠肺炎中恢复且无后症状的患者，我们建议采用与非新冠肺炎患者相同的方法处理围手术期严重出血。（证据级别：低；推荐强度：弱推荐） [znzldj] => B [_inputtime] => 1704957868 [_updatetime] => 1704957868 [_nrjc] => [_nrsh] => )
推荐意见
对于已从新冠肺炎中恢复且无后症状的患者，我们建议采用与非新冠肺炎患者相同的方法处理围手术期严重出血。（证据级别：低；推荐强度：弱推荐）

In patients recovered from COVID-19 and free of postCOVID-19 symptoms, we suggest management of severe peri-operative bleeding as in non-COVID-19 patients.（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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1290 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1290.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Postoperative thromboprophylaxis should be administered as early as possible.（Evidence level: low；Recommendation grade: strong） [laiyuan] => 应尽早进行术后血栓预防。（证据级别：低；推荐强度：强推荐） [znzldj] => B [_inputtime] => 1704957868 [_updatetime] => 1704957868 [_nrjc] => [_nrsh] => )
推荐意见
应尽早进行术后血栓预防。（证据级别：低；推荐强度：强推荐）

Postoperative thromboprophylaxis should be administered as early as possible.（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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1291 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1291.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [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 [_updatetime] => 1704957868 [_nrjc] => [_nrsh] => )
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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1292 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1292.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1293 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1293.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1294 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1294.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [tjqd] => [nianfen] => 2023 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1295 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1295.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1269 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1269.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读
Array ( [id] => 1270 [catid] => 297 [title] => Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/1270.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:24:28 [updatetime] => 2024-01-11 15:24:28 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36855941/ [demo_url] => [zjpjff] => GRADE [zjfj] => [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

来源 Management of severe peri-operative bleeding: Guidelines from the European Society of Anaesthesiology and Intensive Care
原文链接
阅读

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