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

doi:10.7499/j.issn.1008-8830.2501073

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Chinese Journal of Contemporary Pediatrics ›› 2025, Vol. 27 ›› Issue (4) : 395-403. DOI: 10.7499/j.issn.1008-8830.2501073

GUIDELINE INTERPRETATION: GUIDELINE FOR PEDIATRIC TRANSFUSION

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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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

Key words

Critical illness / Septic shock / Acute brain injury / Extracorporeal membrane oxygenation / Hemorrhagic shock / Child

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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

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