Remmers Paul A, Speer Alice J
Department of Internal Medicine, Division of General Medicine, University of Texas Medical Branch, Galveston, TX 77555-1167, USA.
Am J Med. 2006 Dec;119(12):1013-8. doi: 10.1016/j.amjmed.2006.04.016.
Jehovah's Witnesses are primarily known to physicians for their refusal of blood transfusions. Conflict arises at times with the medical staff concerning how best to manage their care. This article will begin with a brief description of the beliefs of Jehovah's Witnesses and will then recommend specific clinical strategies highlighting newer potential therapies according to the principles of bloodless medicine. The scenarios of bleeding and acute and chronic anemia will be discussed in detail for the care of these patients refusing red blood cell transfusions. An update in the use of blood substitutes will be mentioned as well as the surgical advances used today that can minimize blood loss for all patients. The experience of organ transplantation in Jehovah's Witnesses will be detailed. Further resources for physicians with questions in the care of these patients will be listed. Stressed throughout the article will be the need for a team approach and good communication between physicians to successfully care for their patients who are Jehovah's Witnesses.
耶和华见证人主要因拒绝输血而为医生们所熟知。他们与医护人员有时会在如何以最佳方式管理其治疗护理方面产生冲突。本文将首先简要描述耶和华见证人的信仰，然后根据无血医学原则推荐具体的临床策略，重点介绍更新的潜在疗法。将详细讨论出血以及急慢性贫血的情况，以照顾这些拒绝红细胞输血的患者。还将提及血液替代品的使用进展以及当今用于尽量减少所有患者失血的手术进展。将详细介绍耶和华见证人进行器官移植的经验。还将列出为在照顾这些患者时遇到问题的医生提供的更多资源。本文通篇强调的是，需要采用团队协作方法，医生之间要进行良好沟通，才能成功照顾耶和华见证人的患者。
