КЛИНИЧЕСКОЕ ИСПОЛЬЗОВАНИЕ ЭРИТРОЦИТСОДЕРЖАЩИХ КОМПОНЕНТОВ ДОНОРСКОЙ КРОВИ

Принимая во внимание возможные посттрансфузионные реакции и осложнения, необходимо придерживаться строгих показаний к переливанию эритроцитсодержащих компонентов крови (ЭСК). Цель настоящих рекомендаций  — представить основные виды ЭСК и показания к их применению у различных категорий больных. Методы. Методические подходы основываются на мнении ведущих российских экспертов, данных опубликованных в литературе рандомизированных исследований, изучавших сроки хранения, порог концентрации гемоглобина и клинические показания для трансфузии ЭСК. Результаты. Проект клинических рекомендаций рассмотрен 1  октября 2018  г. на Первом конгрессе российских трансфузиологов (г.  Владивосток). В рекомендациях представлены основные типы ЭСК, сроки их хранения, условия транспортировки, показания к трансфузии ЭСК у различных категорий больных (в акушерстве, неонатологии, гематологии, кардиологии, кардиохирургии, нейрохирургии, нефрологии, при острой массивной кровопотере, при сепсисе, септическом шоке, при трансплантации гемопоэтических стволовых клеток и солидных органов). Заключение. Рекомендации предназначены для врачей различных специальностей, администраторов здравоохранения, студентов медицинских учебных заведений.

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