Research progress on strategies of reducing perioperative blood transfusion in liver transplantation
10.3969/j.issn.1674-7445.2021.01.018
- VernacularTitle:减少肝移植围手术期输血相关策略的研究进展
- Author:
Li ZHANG
1
;
Jian YANG
;
Wentao JIANG
Author Information
1. Department of Liver Transplantation, Tianjin First Center Hospital, Key Laboratory of Critical Care Emergency Medicine of National Health Commission of China, Key Laboratory of Organ Transplantation in Tianjin, Key Laboratory of Transplantation Medicine of Chinese Academy of Medical Science, Tianjin 300192, China
- Publication Type:Research Article
- Keywords:
Liver transplantation;
Blood transfusion;
Patient blood management;
Prothrombin time-international standardization ratio;
Viscoelastic coagulation function monitoring;
Allogeneic blood transfusion;
Erythropoietin;
Central venous pressure
- From:
Organ Transplantation
2021;12(1):115-
- CountryChina
- Language:Chinese
-
Abstract:
Massive blood loss and blood transfusion constantly occur in liver transplantation. Over the past two decades, the amount of blood transfusion during the perioperative period has been decreased dramatically along with the continual maturity of liver transplantation techniques. The goal of liver transplantation without blood transfusion has been achieved. Since bleeding and blood transfusion are correlated with poor prognosis after liver transplantation, reducing bleeding and unnecessary blood transfusion has become the key objective during perioperative period of liver transplantation. In this article, adverse effects of allogeneic blood transfusion during perioperative period of liver transplantation, coagulation function monitoring of patients with end-stage liver disease, blood transfusion management of liver transplant recipients and the strategies of reducing perioperative blood transfusion in liver transplantation were summarized, aiming to provide reference for reducing the requirement of blood transfusion during perioperative period of liver transplantation.