{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T13:17:44Z","timestamp":1723123064556},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"37","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2020,9]]},"abstract":"Absztrakt: <\/jats:title>\n A Nemzeti V\u00e9rad\u00f3 \u00e9s V\u00e9rment\u0151 Program c\u00e9lja a v\u00e9rk\u00e9sz\u00edtm\u00e9nyek \u00e9szszer\u0171 \u00e9s indokolt\n alkalmaz\u00e1s\u00e1nak t\u00e1mogat\u00e1sa \u00e9s az irracion\u00e1lis transzf\u00fazi\u00f3s gyakorlat\n megsz\u00fcntet\u00e9se, ez\u00e1ltal a betegbiztons\u00e1g n\u00f6vel\u00e9se. Az \u00e1ltal\u00e1nos elvek mellett a\n programnak vannak speci\u00e1lis sz\u00fcl\u00e9szeti vonatkoz\u00e1sai is. A sz\u00fcl\u00e9szeti, k\u00fcl\u00f6n\u00f6sen\n a postpartum v\u00e9rz\u00e9sek ugyanis vil\u00e1gszerte az anyai hal\u00e1loz\u00e1s vezet\u0151 okai k\u00f6z\u00e9\n tartoznak, el\u0151fordul\u00e1suk pedig a fejlett orsz\u00e1gokban emelked\u0151 tendenci\u00e1t mutat.\n A sz\u00fcl\u00e9sre val\u00f3 felk\u00e9sz\u00fcl\u00e9s fontos elemei a v\u00e9rk\u00e9p rendez\u00e9se, a rutinszer\u0171\n profilaktikus vagy ter\u00e1pi\u00e1s vasp\u00f3tl\u00e1s \u00e9s a sz\u00fcl\u00e9szeti v\u00e9rz\u00e9s tekintet\u00e9ben nagy\n rizik\u00f3val rendelkez\u0151 gravid\u00e1k id\u0151ben t\u00f6rt\u00e9n\u0151 kisz\u0171r\u00e9se, gondoz\u00e1sa. A peripartum\n v\u00e9rz\u00e9sek legf\u0151bb okai az abruptio placentae, placenta praevia, uterusatonia,\n sz\u00f6vetretenci\u00f3 a m\u00e9h \u00fcreg\u00e9ben, s\u00e9r\u00fcl\u00e9s, a haemostasisrendszer zavarai \u00e9s ezek\n kombin\u00e1ci\u00f3i. A postpartum v\u00e9rz\u00e9s megel\u0151z\u00e9se \u00e9rdek\u00e9ben a sz\u00fcl\u00e9s sor\u00e1n fontos a\n lep\u00e9nyi szak akt\u00edv vezet\u00e9se, melynek alapvet\u0151 eleme az uterotonikumok\n profilaktikus alkalmaz\u00e1sa. A v\u00e9rment\u0151 technik\u00e1k haszn\u00e1lata \u2013 megfelel\u0151\n indik\u00e1ci\u00f3val \u2013 cs\u00e1sz\u00e1rmetsz\u00e9s \u00e9s postpartum v\u00e9rz\u00e9s sor\u00e1n is megfontoland\u00f3. A\n sz\u00fcl\u00e9szeti v\u00e9rz\u00e9sek kezel\u00e9se sor\u00e1n a legf\u0151bb priorit\u00e1s a lumenes, seb\u00e9szi v\u00e9rz\u00e9s\n sz\u00fcl\u00e9sz \u00e1ltal t\u00f6rt\u00e9n\u0151 ell\u00e1t\u00e1sa. A massz\u00edv v\u00e9rz\u00e9shez t\u00e1rsul\u00f3 szekunder\n coagulopathia megsz\u00fcntet\u00e9se \u00e9rdek\u00e9ben a faktorkoncentr\u00e1tum-alap\u00fa,\n viszkoelasztikus teszttel monitorozott, egy\u00e9nre szabott kezel\u00e9si m\u00f3d prefer\u00e1lt,\n de ilyenkor a terhess\u00e9g sor\u00e1n \u00e9rv\u00e9nyes \u2013 \u00e9s a nem terhes \u00e1llapott\u00f3l elt\u00e9r\u0151 \u2013\n referencia- \u00e9s c\u00e9l\u00e9rt\u00e9keket kell alkalmaznunk. A sz\u00fcl\u00e9szeti v\u00e9rz\u00e9sek r\u00e9szben a\n megel\u0151zhet\u0151 hal\u00e1lokok k\u00f6z\u00e9 tartoznak. A Nemzeti V\u00e9rad\u00f3 \u00e9s V\u00e9rment\u0151 Program\n sz\u00fcl\u00e9szeti alkalmaz\u00e1s\u00e1val rem\u00e9nyeink szerint tov\u00e1bb jav\u00edthat\u00f3k a sz\u00fcl\u00e9szeti\n v\u00e9rz\u00e9sekb\u0151l sz\u00e1rmaz\u00f3 morbidit\u00e1si \u00e9s mortalit\u00e1sai adatok. Orv Hetil. 2020;\n 161(37): 1588\u20131598.<\/jats:p>","DOI":"10.1556\/650.2020.31915","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T08:54:02Z","timestamp":1599555242000},"page":"1588-1598","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["A Nemzeti V\u00e9rad\u00f3 \u00e9s V\u00e9rment\u0151 Program sz\u00fcl\u00e9szeti vonatkoz\u00e1sai"],"prefix":"10.1556","volume":"161","author":[{"given":"Zsolt","family":"Ol\u00e1h","sequence":"first","affiliation":[{"name":"1 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika, Debreceni Egyetem, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Deli","sequence":"additional","affiliation":[{"name":"2 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Int\u00e9zet, Debreceni Egyetem, Debrecen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Di\u00e1na","family":"M\u00fchl","sequence":"additional","affiliation":[{"name":"3 \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Int\u00e9zet, P\u00e9csi Tudom\u00e1nyegyetem, P\u00e9cs, Ifj\u00fas\u00e1g \u00fat 13., 7624"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/37\/article-p1588.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/37\/article-p1588.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:12:28Z","timestamp":1633914748000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/37\/article-p1588.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":0,"journal-issue":{"issue":"37"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31915","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}