Jovanovic S, Hansbro S D, Munsch C M, Cross M H
Department of Anaesthesia, The General Infirmary at Leeds, UK.
Perfusion. 2000 Jun;15(3):251-5. doi: 10.1177/026765910001500311.
Although Jehovah's Witnesses present a particular problem when undergoing surgery because of their refusal to accept stored blood, it is now quite common to undertake uncomplicated cardiac surgery in these patients. Complex or redo cardiac surgery however, is often associated with major blood loss, and is conventionally contraindicated in Jehovah's Witnesses. We describe the perioperative management of a Jehovah's Witness who underwent a resternotomy for mitral valve replacement and coronary artery bypass grafting having previously had an aortic valve replacement and mitral valve repair. The importance of a multidisciplinary approach to blood conservation is discussed.
尽管耶和华见证人教派的信徒在接受手术时因拒绝接受储存血液而带来特殊问题，但现在为这些患者进行简单的心脏手术已相当普遍。然而，复杂的或再次进行的心脏手术往往伴随着大量失血，按照惯例在耶和华见证人教派信徒中是禁忌的。我们描述了一名耶和华见证人教派信徒的围手术期管理情况，该患者接受了胸骨正中切开术以进行二尖瓣置换和冠状动脉搭桥术，此前曾进行过主动脉瓣置换和二尖瓣修复。文中讨论了采用多学科方法进行血液保护的重要性。
