麻醉實(shí)踐中血液制品管理精要

目　錄 1　輸血和血液管理的歷史 ·········································································································1 2　現(xiàn)代血庫 ··························································································································11 3　血液成分治療 ··················································································································· 21 4　凝血系統(tǒng)和血凝塊穩(wěn)定性 ···································································································· 29 5　纖維蛋白溶解、抗纖維蛋白溶解藥物及圍手術(shù)期應(yīng)用 ································································ 37 6　血液高凝與血栓性疾病 ······································································································· 51 7　血小板異常情況或疾病 ······································································································· 57 8　大量輸血方案 ··················································································································· 69 9　輔助凝血的新生物制劑 ······································································································· 81 10　影響止血的草藥··············································································································· 89 11　出血性疾病的超聲檢查 ·····································································································101 12　輸血并發(fā)癥···················································································································· 113 13　凝血系統(tǒng)疾病：血友病、血管性血友病、冷球蛋白血癥和先天性凝血因子合成障礙 ······················ 119 14　血液保護(hù)策略和免輸血醫(yī)學(xué) ······························································································127 15　當(dāng)不能選擇輸血時(shí)：對(duì)耶和華見證會(huì)信徒患者的管理 ·····························································133 16　血液替代品與人工氧載體 ·································································································139 17　貧血的術(shù)前治療··············································································································143 18　自然災(zāi)難和軍事戰(zhàn)爭(zhēng)中血液制品管理 ··················································································151 19　影響凝血的常用處方藥：綜述 ···························································································165 20　嚴(yán)重創(chuàng)傷患者的輸血 ·······································································································189 21　圍手術(shù)期凝血床旁檢測(cè) ····································································································199 22　血管內(nèi)皮功能障礙與炎癥狀態(tài) ···························································································213 23　產(chǎn)科患者血液管理 ··········································································································229 24　兒科患者血液管理 ··········································································································239 25　肝移植患者的血液管理 ····································································································255 26　開放性與保守性輸血策略 ·································································································265 27　遺傳性凝血功能障礙 ·······································································································275 2 麻醉實(shí)踐中血液制品管理精要 28　鐵過載的代謝、病理生理學(xué)及臨床治療 ···············································································285 29　輸血治療的陷阱··············································································································297 30　創(chuàng)傷性顱腦損傷與輸血 ····································································································309 31　輸血相關(guān)免疫調(diào)節(jié)與圍手術(shù)期感染 / 腫瘤復(fù)發(fā)：輸血相關(guān)的生理改變、證據(jù)和爭(zhēng)議 ·······················317 32　血液制品的來源··············································································································325 33　心臟外科的血液保護(hù)與管理 ······························································································331 34　富血小板血漿：不只是運(yùn)動(dòng)員的福音 ··················································································337 35　燒傷患者的輸血治療 ·······································································································345 36　院前急救輸血·················································································································349 37　全血又回來了·················································································································361 38　生理鹽水：對(duì)于出血患者并不夠生理 ··················································································367 39　老年患者的血液管理 ·······································································································371 40　藥物濫用和凝血功能障礙 ·································································································379 41　圍手術(shù)期輸注異體血液制品對(duì)癌癥復(fù)發(fā)的影響 ······································································387 42　紅細(xì)胞增多癥的圍手術(shù)期處理 ···························································································393 43　早產(chǎn)兒的血液管理 ··········································································································399 44　凝血與區(qū)域麻醉·············································································································· 411 45　鐵過載··························································································································421 46　發(fā)展中國家的血液制品管理 ······························································································425 47　接受介入性疼痛管理的患者使用抗凝和抗血栓藥物的注意事項(xiàng)和指南 ········································429 48　紅細(xì)胞的儲(chǔ)存損傷：生物學(xué)與隨機(jī)對(duì)照試驗(yàn)的爭(zhēng)論 ································································441 彩圖···································································································································45