国家卫生健康行业标准《儿科输血指南》中心脏手术患儿输血的编制说明与解读

黄蓉; 何庆南; 黑明燕; 杨明华; 竺晓凡; 卢俊; 徐晓军; 袁天明; 张蓉; 王旭; 王静; 邵智利; 赵明一; 郭永建; 吴心音; 陈佳睿; 陈琦蓉; 郭佳; 桂嵘; 刘晋萍

doi:10.7499/j.issn.1008-8830.2503114

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中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (7) : 778-785. DOI: 10.7499/j.issn.1008-8830.2503114

指南解读：《儿科输血指南》系列

国家卫生健康行业标准《儿科输血指南》中心脏手术患儿输血的编制说明与解读

黄蓉 ¹ ,
何庆南 ² ,
黑明燕 ³ ,
杨明华 ² ,
竺晓凡 ⁴ ,
卢俊 ⁵ ,
徐晓军 ⁶ ,
袁天明 ⁷ ,
张蓉 ⁸ ,
王旭 ⁹ ,
王静 ¹⁰ ,
邵智利 ¹¹ ,
赵明一 ² ,
郭永建 ¹²^,¹³ ,
吴心音 ¹⁴ ,
陈佳睿 ¹⁵^,¹⁶ ,
陈琦蓉 ¹⁵^,¹⁶ ,
郭佳 ¹⁵^,¹⁶ ,
桂嵘 ¹ ,
刘晋萍 ¹⁷

作者信息 +

^1. 中南大学湘雅三医院输血科，湖南长沙 410013

^2. 中南大学湘雅三医院儿科，湖南长沙 410013

^3. 首都医科大学附属北京儿童医院新生儿中心，北京 100045

^4. 中国医学科学院血液病医院（中国医学科学院血液学研究所）儿童血液病诊疗中心，天津 300020

^5. 苏州大学附属儿童医院血液肿瘤科，江苏苏州 215025

^6. 浙江大学医学院附属儿童医院血液肿瘤内科，浙江杭州 310005

^7. 浙江大学医学院附属儿童医院新生儿科，浙江杭州 310005

^8. 复旦大学附属儿科医院新生儿科，上海 201102

^9. 中国医学科学院阜外医院小儿外科中心，北京 100032

^10. 上海交通大学医学院附属上海儿童医学中心输血科，上海 200127

^11. 河北省儿童医院输血科，河北石家庄 050031

^12. 国家卫生健康标准委员会血液标准专业委员会，北京 100006

^13. 福建省血液中心，福建福州 350004

^14. 中南大学湘雅公共卫生学院流行病与卫生统计学系，湖南长沙 410013

^15. 中南大学湘雅护理学院，湖南长沙 410013

^16. 中南大学湘雅循证卫生保健研究中心，湖南长沙 410013

^17. 中国医学科学院阜外医院体外循环中心，北京 100032

作者简介:

黄蓉负责数据分析、论文撰写；赵明一、杨明华、竺晓凡、卢俊、徐晓军、袁天明、张蓉、王旭、王静、黑明燕、何庆南、邵智利负责文章的学术性和专业性校对；郭永建、郭佳、吴心音、陈佳睿、陈琦蓉负责指导证据检索和证据评价过程；桂嵘、刘晋萍负责文章的构思、指导修改与定稿。

黄蓉，女，博士，副主任技师。

通信作者:

桂嵘，女，教授/主任技师。Email：guirong@csu.edu.cn

刘晋萍，女，主任医师。Email：jinpingfw@hotmail.com。

折叠

Explanation and interpretation of blood transfusion provisions for children undergoing cardiac surgery in the national health standard "Guideline for pediatric transfusion"

Rong HUANG ¹ ,
Qing-Nan HE ² ,
Ming-Yan HEI ³ ,
Ming-Hua YANG ² ,
Xiao-Fan ZHU ⁴ ,
Jun LU ⁵ ,
Xiao-Jun XU ⁶ ,
Tian-Ming YUAN ⁷ ,
Rong ZHANG ⁸ ,
Xu WANG ⁹ ,
Jing WANG ¹⁰ ,
Zhi-Li SHAO ¹¹ ,
Ming-Yi ZHAO ² ,
Yong-Jian GUO ¹²^,¹³ ,
Xin-Yin WU ¹⁴ ,
Jia-Rui CHEN ¹⁵^,¹⁶ ,
Qi-Rong CHEN ¹⁵^,¹⁶ ,
Jia GUO ¹⁵^,¹⁶ ,
Rong GUI ¹ ,
Jin-Ping LIU ¹⁷

Author information +

文章历史 +

摘要

为了指导儿童患者的临床输血实践，国家卫生健康委员会发布了卫生健康行业标准《儿科输血指南》（WS/T 795-2022）。接受心脏手术的患儿出血风险大，围手术期新生儿和儿童贫血和凝血功能障碍原因复杂多样，因此常需要输注异体血液成分。该指南对心脏手术患儿术前、术中、术后患者血液管理的具体措施给出了指导和建议。该文对心脏手术患儿输血条款内容的编制背景和证据做出解读，希望有助于该指南的理解和贯彻实施。

Abstract

To guide clinical blood transfusion practices in pediatric patients, the National Health Commission has issued the health standard "Guideline for pediatric transfusion" (WS/T 795-2022). Children undergoing cardiac surgery are at high risk of bleeding, and the causes of perioperative anemia and coagulation disorders in neonates and children are complex and varied, often necessitating the transfusion of allogeneic blood components. This guideline provides direction and recommendations for specific measures in blood management for children undergoing cardiac surgery before, during, and after surgery. This article interprets the background and evidence for the formulation of the blood transfusion provisions for children undergoing cardiac surgery, hoping to facilitate the understanding and implementation of this guideline.

导出引用

黄蓉, 何庆南, 黑明燕, 等. 国家卫生健康行业标准《儿科输血指南》中心脏手术患儿输血的编制说明与解读[J]. 中国当代儿科杂志. 2025, 27(7): 778-785 https://doi.org/10.7499/j.issn.1008-8830.2503114

Rong HUANG, Qing-Nan HE, Ming-Yan HEI, et al. Explanation and interpretation of blood transfusion provisions for children undergoing cardiac surgery in the national health standard "Guideline for pediatric transfusion"[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(7): 778-785 https://doi.org/10.7499/j.issn.1008-8830.2503114

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