[Multidisciplinary expert's consensus on the management of perioperative iron deficiency anemia in patients accepting general surgery]

Zhonghua Wai Ke Za Zhi. 2020 Apr 1;58(4):252-256. doi: 10.3760/cma.j.cn112139-20200210-00073.
[Article in Chinese]

Abstract

Iron deficiency anemia is common in general surgery patients during the perioperative period, which will increase the morbidity and mortality. Timely diagnosis and treatment of iron deficiency anemia in the perioperative period will improve the clinical outcome of patients and reduce the medical burden.Management of perioperative iron deficiency anemia includes familiar with the diagnosis and grading of anemia, monitoring patient's hemoglobin, treatment of anemic etiology, nutritional support, iron supplementation, implementation of restrictive transfusion strategy, application of erythropoietin, autotransfusion, etc.Multidisciplinary management of iron deficiency anemia is encouraged.

普通外科患者在围手术期常见缺铁性贫血,缺铁性贫血会增加围手术期并发症发生率和病死率。围手术期及时诊断及治疗缺铁性贫血有助于改善患者临床转归,减轻医疗负担。围手术期缺铁性贫血管理的措施包括熟悉贫血的诊断及分级,监测患者血红蛋白,治疗贫血病因,营养支持,补充铁剂,实施限制性输血策略,应用促红细胞生成素,自体血回输等。本共识推荐通过多学科合作,诊断和治疗普通外科患者围手术期的缺铁性贫血。.

Keywords: Anemia, iron-deficiency; Blood transfusion; General surgery; Perioperative.

MeSH terms

  • Anemia, Iron-Deficiency / diagnosis*
  • Anemia, Iron-Deficiency / therapy*
  • Consensus
  • Erythropoietin / therapeutic use
  • Hemoglobins / analysis
  • Humans
  • Iron / analysis
  • Surgical Procedures, Operative*

Substances

  • Hemoglobins
  • Erythropoietin
  • Iron