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给专业医疗人员的资讯

在医学文献中,有很多关于复杂的外科手术和其他医疗措施的报告。在这些报告中,医生成功地进行治疗,都没有进行异体输血(包括全血或血液的主要成分)。要避免输血,牵涉到以最佳方式使用一些临床策略来尽量减少失血、保护自体血液,促进造血以及增强贫血的耐受。本专栏列出权威医学期刊中经过同行评议(同侪审查)的文章,提供的证据支持自体血液保护和输血替代措施的使用。

 

药物治疗和外科手术

使用不涉及异体输血的措施来管理出血和贫血的临床策略。

儿科

使用不涉及异体输血的措施来治疗新生儿和儿科病人的临床策略。

疾病和状况

使用不涉及异体输血的措施来治疗某些疾病和状况的临床策略。

生命伦理和法律

专业医疗人员在治疗耶和华见证人时可以考虑的伦理、法律和社会因素。


推荐文章

Tranexamic acid in patients undergoing noncardiac surgery. (打开新窗口)

Devereaux PJ, Marcucci M, Painter TW, Conen D, Lomivorotov V, Sessler DI, Chan MTV, Borges FK, Martínez-Zapata MJ, Wang CY, Xavier D, Ofori SN, Wang MK, Efremov S, Landoni G, Kleinlugtenbelt YV, Szczeklik W, Schmartz D, Garg AX, Short TG, Wittmann M, Meyhoff CS, Amir M, Torres D, Patel A, Duceppe E, Ruetzler K, Parlow JL, Tandon V, Fleischmann E, Polanczyk CA, Lamy A, Astrakov SV, Rao M, Wu WKK, Bhatt K, de Nadal M, Likhvantsev VV, Paniagua P, Aguado HJ, Whitlock RP, McGillion MH, Prystajecky M, Vincent J, Eikelboom J, Copland I, Balasubramanian K, Turan A, Bangdiwala SI, Stillo D, Gross PL, Cafaro T, Alfonsi P, Roshanov PS, Belley-Côté EP, Spence J, Richards T, VanHelder T, McIntyre W, Guyatt G, Yusuf S, Leslie K; POISE-3 Investigators

来源‎: N Engl J Med. 2022;386(21):1986-97.

检索‎: PubMed 35363452

DOI码‎: 10.1056/NEJMoa2201171

https://pubmed.ncbi.nlm.nih.gov/35363452/ (打开新窗口)

Mortality and morbidity in non-transfusable and transfusable patients: a systematic review and meta-analysis. (打开新窗口)

Seeber P, Döbel KU, Isbister JP, Murray K, Shander A, Trentino KM, Lucas M

来源‎: Transfusion. 2022;62(3):685-97.

检索‎: PubMed 34967018

DOI码‎: 10.1111/trf.16788

https://pubmed.ncbi.nlm.nih.gov/34967018/ (打开新窗口)

Anemia in Pregnancy: ACOG Practice Bulletin, Number 233. (打开新窗口)

Malee M; American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Obstetrics

来源‎: Obstet Gynecol. 2021;138(2):e55-e64.

检索‎: PubMed 34293770

DOI码‎: 10.1097/AOG.0000000000004477

https://pubmed.ncbi.nlm.nih.gov/34293770/ (打开新窗口)

Decreased transfusion requirements with use of acute normovolemic hemodilution in open aortic aneurysm repair. (打开新窗口)

Droz NM, Lin J, Beach J, Vo C, Morrow K, Lyden SP, Hardy DM, Caputo FJ, Rowse J, Kirksey L, Smolock CJ

来源‎: J Vasc Surg 2021;74(6):1885-93.

检索‎: PubMed 34082004

DOI码‎: 10.1016/j.jvs.2021.05.030

https://pubmed.ncbi.nlm.nih.gov/34082004/ (打开新窗口)

Iatrogenic blood loss in extreme preterm infants due to frequent laboratory tests and procedures. (打开新窗口)

Counsilman CE, Heeger LE, Tan R, Bekker V, Zwaginga JJ, Te Pas AB, Lopriore E

来源‎: J Matern Fetal Neonatal Med. 2021;34(16):2660-65. 

检索‎: PubMed 31588840

DOI码‎: 10.1080/14767058.2019.1670800

https://pubmed.ncbi.nlm.nih.gov/31588840/ (打开新窗口)

Early prehospital tranexamic acid following injury is associated with a 30-day survival benefit: A secondary analysis of a randomized clinical trial. (打开新窗口)

Li SR, Guyette F, Brown J, Zenati M, Reitz KM, Eastridge B, Nirula R, Vercruysse GA, O'Keeffe T, Joseph B, Neal MD, Zuckerbraun BS, Sperry JL

来源‎: Ann Surg. 2021;274(3):419-26. 

检索‎: PubMed 34132695

DOI码‎: 10.1097/SLA.0000000000005002

https://pubmed.ncbi.nlm.nih.gov/34132695/ (打开新窗口)

Safety and feasibility of urological procedures in Jehovah's Witness patients. (打开新窗口)

Han J, Ahmadi H, Ladi-Seyedian SS, Clifford TG, Douglawi A, Xu W, Bazargani ST, Mingo S, Thangathurai D, Daneshmand S, Djaladat H

来源‎: Int J Urol 2022;29(1):83-8.

检索‎: PubMed 34642972

DOI码‎: 10.1111/iju.14721

https://pubmed.ncbi.nlm.nih.gov/34642972/ (打开新窗口)

Women who decline blood during labour: Review of findings and lessons learnt from 52 years of Confidential Enquiries into maternal mortality in the United Kingdom (1962-2019). (打开新窗口)

Berg L, Dave A, Fernandez N, Brooks B, Madgwick K, Govind A, Yoong W

来源‎: Eur J Obstet Gynecol Reprod Biol. 2022;271:20-6.

检索‎: PubMed 35131631

DOI码‎: 10.1016/j.ejogrb.2022.01.028

https://pubmed.ncbi.nlm.nih.gov/35131631/ (打开新窗口)

Eltrombopag added to immunosuppression in severe aplastic anemia. (打开新窗口)

Peffault de Latour R, Kulasekararaj A, Iacobelli S, Terwel SR, Cook R, Griffin M, Halkes CJM, Recher C, Barraco F, Forcade E, Vallejo JC, Drexler B, Mear JB, Smith AE, Angelucci E, Raymakers RAP, de Groot MR, Daguindau E, Nur E, Barcellini W, Russell NH, Terriou L, Iori AP, La Rocca U, Sureda A, Sánchez-Ortega I, Xicoy B, Jarque I, Cavenagh J, Sicre de Fontbrune F, Marotta S, Munir T, Tjon JML, Tavitian S, Praire A, Clement L, Rabian F, Marano L, Hill A, Palmisani E, Muus P, Cacace F, Frieri C, van Lint MT, Passweg JR, Marsh JCW, Socié G, Mufti GJ, Dufour C, Risitano AM; Severe Aplastic Anemia Working Party of the European Society for Blood and Marrow Transplantation

来源‎: N Engl J Med 2022;386(1):11-23.

检索‎: PubMed 34986284

DOI码‎: 10.1056/NEJMoa2109965

https://pubmed.ncbi.nlm.nih.gov/34986284/ (打开新窗口)