国家卫生健康行业标准《儿科输血指南》中重症及大出血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; 刘晋萍; 王静; 邵智利; 赵明一; 郭永建; 吴心音; 陈佳睿; 陈琦蓉; 郭佳; 桂嵘

doi:10.7499/j.issn.1008-8830.2501073

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中国当代儿科杂志 ›› 2025, Vol. 27 ›› Issue (4) : 395-403. DOI: 10.7499/j.issn.1008-8830.2501073

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》中重症及大出血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, 刘晋萍¹⁰, 王静¹¹, 邵智利¹², 赵明一², 郭永建^13,14, 吴心音¹⁵, 陈佳睿^16,17, 陈琦蓉^16,17, 郭佳^16,17, 桂嵘¹

作者信息 +

Explanation and interpretation of blood transfusion provisions for critically ill and severely bleeding pediatric patients in the national health standard "Guideline for pediatric transfusion"

HUANG Rong, HE Qing-Nan, HEI Ming-Yan, YANG Ming-Hua, ZHU Xiao-Fan, LU Jun, XU Xiao-Jun, YUAN Tian-Ming, ZHANG Rong, WANG Xu, LIU Jin-Ping, WANG Jing, SHAO Zhi-Li, ZHAO Ming-Yi, GUO Yong-Jian, WU Xin-Yin, CHEN Jia-Rui, CHEN Qi-Rong, GUO Jia, GUI Rong

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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）。重症患儿常合并贫血，输血需求高于其他患儿。该指南对一般重症、脓毒症休克、急性脑创伤重症、体外膜氧合、无生命危险的出血及失血性休克等患儿的输血给出了指导和建议。该文对《儿科输血指南》中重症及大出血患儿输血条款内容的编制背景和证据做出解读，希望对该指南的重症及大出血患儿输血部分的理解和贯彻实施有所助益。

Abstract

To guide clinical blood transfusion practices for pediatric patients, the National Health Commission has issued the health standard "Guideline for pediatric transfusion" (WS/T 795-2022). Critically ill children often present with anemia and have a higher demand for transfusions compared to other pediatric patients. This guideline provides guidance and recommendations for blood transfusions in cases of general critical illness, septic shock, acute brain injury, extracorporeal membrane oxygenation, non-life-threatening bleeding, and hemorrhagic shock. This article interprets the background and evidence of the blood transfusion provisions for critically ill and severely bleeding children in the "Guideline for pediatric transfusion", aiming to enhance understanding and implementation of this aspect of the guidelines. Citation:Chinese Journal of Contemporary Pediatrics, 2025, 27(4): 395-403

导出引用

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, 刘晋萍, 王静, 邵智利, 赵明一, 郭永建, 吴心音, 陈佳睿, 陈琦蓉, 郭佳, 桂嵘. 国家卫生健康行业标准《儿科输血指南》中重症及大出血患儿输血的编制说明与解读[J]. 中国当代儿科杂志. 2025, 27(4): 395-403 https://doi.org/10.7499/j.issn.1008-8830.2501073

HUANG Rong, HE Qing-Nan, HEI Ming-Yan, YANG Ming-Hua, ZHU Xiao-Fan, LU Jun, XU Xiao-Jun, YUAN Tian-Ming, ZHANG Rong, WANG Xu, LIU Jin-Ping, WANG Jing, SHAO Zhi-Li, ZHAO Ming-Yi, GUO Yong-Jian, WU Xin-Yin, CHEN Jia-Rui, CHEN Qi-Rong, GUO Jia, GUI Rong. Explanation and interpretation of blood transfusion provisions for critically ill and severely bleeding pediatric patients in the national health standard "Guideline for pediatric transfusion"[J]. Chinese Journal of Contemporary Pediatrics. 2025, 27(4): 395-403 https://doi.org/10.7499/j.issn.1008-8830.2501073

参考文献

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