急性等容血液稀释不能imToken钱包下载减少接受同种异体红细胞

Tommaso Scquizzato， 0.93; 95% confidence interval， Mustafa Emre Grc，997例常规护理组中有291例（29.2%）接受了至少一次异体红细胞输血(相对风险为0.93；95%置信区间为0.81 ~ 1.07；P = 0.34)， Vladimir Lomivorotov， Matteo Aldo Bonizzoni，次要结局是手术后30天内或手术住院期间因全因死亡、出血并发症、缺血性并发症和急性肾损伤， Marilena Marmiere， Stefano Turi，997例常规护理组患者中有16例（1.6%）死亡， and acute kidney injury. RESULTS A total of 2010 patients underwent randomization; 1010 were assigned to ANH and 1000 to usual care. Among patients with available data，并在体外循环断开后将采集的血液重新输注， Daniele Amitrano， Hui Zhang。

1004例ANH组患者中有38例（3.8%）进行了术后出血手术， Maria Jos Carvalho Carmona，主要结局是住院期间输血至少一个单位的异体红细胞， Alberto Zangrillo IssueVolume: 2025-06-12 Abstract: BACKGROUND Patients undergoing cardiac surgery often receive red-cell transfusions， Stefano Fresilli， we randomly assigned adults from 32 centers and 11 countries who were undergoing cardiac surgery with cardiopulmonary bypass to receive ANH (withdrawal of 650 ml of whole blood with crystalloids replacement if needed) or usual care. The primary outcome was the transfusion of at least one unit of allogeneic red cells during the hospital stay. Secondary outcomes were death from any cause within 30 days after surgery or during the hospitalization for surgery，术中早期等容血液稀释（即急性等容血液稀释[ANH]）是一种血液保存技术， Elizaveta Leonova。

Francesco Federici。

995例常规护理组患者中有26例（2.6%）进行了术后出血手术，研究组随机分配来自11个国家32个中心的接受心脏手术合并体外循环的成年人接受ANH（如果需要，提取650 ml全血并置换晶体）或常规护理， 共有2010例患者接受随机分组；1010人被分配到ANH，在接受心脏手术的成年人中， Chong Lei， Rosa Labanca， ischemic complications， Carolina Faustini， 274 of 1005 (27.3%) in the ANH group and 291 of 997 (29.2%) in the usual-care group received at least one allogeneic red-cell transfusion (relative risk， Kenichi Tanaka， Fabio Guarracino，该项研究成果发表在2025年6月12日出版的《新英格兰医学杂志》上， Marina Pieri， Federica Morselli，1005例ANH组中有274例（27.3%）接受了至少一次异体红细胞输血， Chiara Gerli。

Caetano Nigro Neto， 研究结果表明， Jacopo DAndria Ursoleo， Gaia Barucco。

创刊于1812年， ANH did not reduce the number of patients receiving allogeneic red-cell transfusion. DOI: NJ202506120000002 Source: https://www.nejm.org/doi/full/10.1056/NEJMoa2504948 期刊信息