Hemoglobin Level Variability: Associations with Comorbidity, Intercurrent Events, and Hospitalizatio

来源 :2013年中国肾性贫血治疗专家共识研讨会 | 被引量 : 0次 | 上传用户:leocaan
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National payment policies target a hemoglobin range of 11 to 12.5 g/dl for patients with ESRD.However, clinical complications and provider practices may contribute to wide fluctuations over time.This study evaluated the frequency with which patientsmaintain stable hemoglobin levels below, within, and above the Centers for Medicare & Medicaid Services target range and assessed patterns of hemoglobin level change that resulted in large fluctuations across the target range during a 6-mo period.
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背景反复输血或使用红细胞生成刺激剂(ESA)都可以用于治疗肾性贫血.但是对两种治疗方法的选择,应该针对患者的实际情况,根据两种治疗方法的相对利弊进行选择.单纯的Hb降低不作为输血的理由,不能为了Hb达标而输血.慢性贫血患者输血是为了防止组织缺氧或心力衰竭.在ESA治疗Hb达标的患者,仅在急性失血(如急性出血、急性溶血、严重炎症或外科血液丢失)时输血.输血患者患急性冠脉综合征时有更高的死亡率.使用输
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