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首页> 外文期刊>World Journal of Surgical Oncology >Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
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Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes

机译：妇科肿瘤学中的非血液医疗：血液保存管理方案的回顾和更新

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This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic transfusion of blood products, putting the theory of bloodless surgery into practice seems to gaining greater acceptance. An increasing number of institutions appear to be successfully adopting approaches that minimize blood usage for all patients treated for gynecologic malignancies. Preoperative, intraoperative and postoperative measures are required, such as optimization of red blood cell mass, adequate preoperative plan and invasive hemostatic procedures, assisting anesthetic techniques, individualization of anemia tolerance, autologous blood donation, normovolemic hemodilution, intraoperative cell salvage and pharmacologic agents for controlling blood loss. An individualised management plan of experienced personnel adopting a multidisciplinary team approach should be available to establish non-blood management strategies, and not only on demand of the patient, in the field of gynecologic oncology with the use of drugs, devices and surgical-medical techniques.
机译：这篇综述试图概述在妇科肿瘤学领域无血外科中使用的替代措施和干预措施，并证明其有效性。如今，随着越来越多的患者表达对同种异体输血所带来的潜在风险的担忧，将无血外科手术理论付诸实践似乎越来越受到认可。越来越多的机构似乎已成功地采用了使所有接受妇科恶性肿瘤治疗的患者的血液用量降至最低的方法。需要术前，术中和术后措施，例如优化红细胞量，适当的术前计划和有创的止血程序，辅助麻醉技术，贫血个体化，自体献血，降血常规血液稀释，术中细胞抢救和控制药物的药物失血。在妇科肿瘤学领域，不仅要根据患者的需求，还应采用采取多学科团队方法的经验丰富的人员的个性化管理计划，以制定非血液管理策略，并使用药物，器械和外科医学技术。

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