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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。


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Efficacy and safety of intravenous ferric carboxymaltose compared with oral iron for the treatment of iron deficiency anaemia in women after childbirth in Tanzania: a parallel-group, open-label, randomised controlled phase 3 trial. (打开新窗口)

Vanobberghen F, Lweno O, Kuemmerle A, Mwebi KD, Asilia P, Issa A, Simon B, Mswata S, Schmidlin S, Glass TR, Abdulla S, Daubenberger C, Tanner M, Meyer-Monard S.

来源‎: Lancet Glob Health 2021;9(2):e189-98

检索‎: PubMed 33245866

DOI码‎: 10.1016/S2214-109X(20)30448-4

https://www.ncbi.nlm.nih.gov/pubmed/33245866 (打开新窗口)

Association of intravenous tranexamic acid with thromboembolic events and mortality: a systematic review, meta-analysis, and meta-regression. (打开新窗口)

Taeuber I, Weibel S, Herrmann E, Neef V, Schlesinger T, Kranke P, Messroghli L, Zacharowski K, Choorapoikayil S, Meybohm P

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检索‎: PubMed 33851983

DOI码‎: 10.1001/jamasurg.2021.0884

https://www.ncbi.nlm.nih.gov/pubmed/33851983 (打开新窗口)

Physician autonomy and patient rights: lessons from an enforced blood transfusion and the role of patient blood management. (打开新窗口)

Bolcato M, Shander A, Isbister JP, Trentino KM, Russo M, Rodriguez D, Aprile A

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https://www.ncbi.nlm.nih.gov/pubmed/33826768 (打开新窗口)

Retrograde autologous priming in cardiac surgery: results from a systematic review and meta-analysis. (打开新窗口)

Hensley NB, Gyi R, Zorrilla-Vaca A, Choi CW, Lawton JS, Brown CH 4th, Frank SM, Grant MC, Cho BC

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https://www.ncbi.nlm.nih.gov/pubmed/32947294 (打开新窗口)

Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020. (打开新窗口)

Kingdom JC, Hobson SR, Murji A, Allen L, Windrim RC, Lockhart E, Collins SL, Soleymani Majd H, Alazzam M, Naaisa F, Shamshirsaz AA, Belfort MA, Fox KA

来源‎: Am J Obstet Gynecol 2020;223(3):322-9.

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Bloodless chimeric antigen receptor (CAR) T-cell therapy in Jehovah's Witnesses. (打开新窗口)

Riedell PA, Wu M, Collins JM, Gideon JM, Jakubowiak AJ, Kline JP, Kosuri S, Liu H, Smith SM, Bishop MR

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https://www.ncbi.nlm.nih.gov/pubmed/33535838 (打开新窗口)

Transfusion-free cranial vault remodeling: a novel, multifaceted approach. (打开新窗口)

Wood RJ, Stewart CN, Liljeberg K, Sylvanus TS, Lim PK

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https://www.ncbi.nlm.nih.gov/pubmed/31881619 (打开新窗口)

Comparison of 4-factor prothrombin complex concentrate with frozen plasma for management of hemorrhage during and after cardiac surgery: a randomized pilot trial. (打开新窗口)

Karkouti K, Bartoszko J, Grewal D, Bingley C, Armali C, Carroll J, Hucke HP, Kron A, McCluskey SA, Rao V, Callum J

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Azacitidine and venetoclax in previously untreated acute myeloid leukemia. (打开新窗口)

DiNardo CD, Jonas BA, Pullarkat V, Thirman MJ, Garcia JS, Wei AH, Konopleva M, Döhner H, Letai A, Fenaux P, Koller E, Havelange V, Leber B, Esteve J, Wang J, Pejsa V, Hájek R, Porkka K, Illés Á, Lavie D, Lemoli RM, Yamamoto K, Yoon SS, Jang JH, Yeh SP, Turgut M, Hong WJ, Zhou Y, Potluri J, Pratz KW

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检索‎: PubMed 32786187

DOI码‎: 10.1056/NEJMoa2012971

https://www.ncbi.nlm.nih.gov/pubmed/32786187 (打开新窗口)