跳到內容

給專業醫療人員的資訊

在醫學文獻中,有很多關於複雜的外科手術和其他醫療措施的報告。在這些報告中,醫生成功地進行治療,都沒有進行異體輸血(包括全血或血液的主要成分)。要避免輸血,牽涉到以最佳方式使用一些臨床策略來儘量減少失血、保護自體血液,促進造血以及增强貧血的耐受。本專欄列出權威醫學期刊中經過同行評議(同儕審查)的文章,提供的證據支持自體血液保護和輸血替代措施的使用。

 

藥物治療和外科手術

使用不涉及異體輸血的措施來管理出血和貧血的臨床策略。

兒科

使用不涉及異體輸血的措施來治療新生兒和兒科病人的臨床策略。

疾病和狀況

使用不涉及異體輸血的措施來治療某些疾病和狀況的臨床策略。

生命倫理和法律

專業醫療人員在治療耶和華見證人時可以考慮的倫理、法律和社會因素。


推薦文章

A multicenter study of romiplostim for chemotherapy-induced thrombocytopenia in solid tumors and hematologic malignancies. (開啟新視窗)

Al-Samkari H, Parnes AD, Goodarzi K, Weitzman JI, Connors JM, Kuter DJ

出處‎: Haematologica 2021;106(4):1148-57.

檢索‎: PubMed 32499239

DOI碼‎: 10.3324/haematol.2020.251900

https://www.ncbi.nlm.nih.gov/pubmed/32499239 (開啟新視窗)

Preoperative blood transfusions and morbidity in neonates undergoing surgery. (開啟新視窗)

Dukleska K, Vinocur CD, Brenn BR, Lim DJ, Keith SW, Dirnberger DR, Berman L

出處‎: Pediatrics 2020;146(5):e20193718.

檢索‎: PubMed 33087550

DOI碼‎: 10.1542/peds.2019-3718

https://www.ncbi.nlm.nih.gov/pubmed/33087550 (開啟新視窗)

Voxelotor in adolescents and adults with sickle cell disease (HOPE): long-term follow-up results of an international, randomised, double-blind, placebo-controlled, phase 3 trial. (開啟新視窗)

Howard J, Ataga KI, Brown RC, Achebe M, Nduba V, El-Beshlawy A, Hassab H, Agodoa I, Tonda M, Gray S, Lehrer-Graiwer J, Vichinsky E

出處‎: Lancet Haematol 2021;8(5):e323-33.

檢索‎: PubMed 33838113

DOI碼‎: 10.1016/S2352-3026(21)00059-4

https://www.ncbi.nlm.nih.gov/pubmed/33838113 (開啟新視窗)

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. (開啟新視窗)

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.

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

檢索‎: PubMed 33245866

DOI碼‎: 10.1016/S2214-109X(20)30448-4

https://www.ncbi.nlm.nih.gov/pubmed/33245866 (開啟新視窗)

Association of intravenous tranexamic acid with thromboembolic events and mortality: a systematic review, meta-analysis, and meta-regression. (開啟新視窗)

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

出處‎: JAMA Surg 2021;156(6):e210884.

檢索‎: PubMed 33851983

DOI碼‎: 10.1001/jamasurg.2021.0884

https://www.ncbi.nlm.nih.gov/pubmed/33851983 (開啟新視窗)

Physician autonomy and patient rights: lessons from an enforced blood transfusion and the role of patient blood management. (開啟新視窗)

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

出處‎: Vox Sang 2021. [Online ahead of print]

檢索‎: PubMed 33826768

DOI碼‎: 10.1111/vox.13106

https://www.ncbi.nlm.nih.gov/pubmed/33826768 (開啟新視窗)

Retrograde autologous priming in cardiac surgery: results from a systematic review and meta-analysis. (開啟新視窗)

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

出處‎: Anesth Analg 2021;132(1):100-7.

檢索‎: PubMed 32947294

DOI碼‎: 10.1213/ANE.0000000000005151

https://www.ncbi.nlm.nih.gov/pubmed/32947294 (開啟新視窗)

Minimizing surgical blood loss at cesarean hysterectomy for placenta previa with evidence of placenta increta or placenta percreta: the state of play in 2020. (開啟新視窗)

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

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

檢索‎: PubMed 32007492

DOI碼‎: 10.1016/j.ajog.2020.01.044

https://www.ncbi.nlm.nih.gov/pubmed/32007492 (開啟新視窗)