Gyamfi C, Yasin SY
University of Miami/Jackson Memorial Hospital, Miami, Florida, USA
Prim Care Update Ob Gyns. 2000 Nov 1;7(6):266-268. doi: 10.1016/s1068-607x(00)00057-3.
Anemia in a Jehovah's Witness can be a challenging situation for the general obstetrician and gynecologist. With today's multicultural society, this issue is not as uncommon as previously thought. The following article reviews the alternatives to heterologous blood transfusion available to those patients who will not accept blood. A review of perioperative management is discussed, including cell salvage systems, normovolemic hemodilution, and controlled hypotensive anesthesia. Strategies for pre- and postoperative management are also presented. These include iron, erythropoietin, and nutrition. There are many options available, so management can be tailored to each specific situation.
对于普通妇产科医生而言，耶和华见证会成员患贫血可能是个棘手的情况。在当今多元文化社会中，这个问题并不像以前认为的那样罕见。以下文章回顾了那些不接受输血的患者可采用的异体输血替代方法。文中讨论了围手术期管理，包括细胞回收系统、等容血液稀释和控制性低血压麻醉。还介绍了术前和术后管理策略，包括铁剂、促红细胞生成素和营养。有许多可用的选择，因此管理可以根据每种具体情况进行调整。
