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[自体血捐献者进行全面感染筛查的必要性]

[The need for thorough infection screening in donors of autologous blood].

作者信息

Heim M U, Mempel W

机构信息

Transfusionszentrum-Med. Klinik III im Klinikum Grosshadern, Universität München.

出版信息

Beitr Infusionsther. 1991;28:313-6.

PMID:1725645
Abstract

To avoid the risk of diseases transmitted by homologous blood, predeposited autologous blood is useful for elective surgical patients. World-wide, there is disagreement over whether complete donor testing should or should not be done on autologous collections. There are a variety of testing concerns which have evolved into reasons for testing all autologous units for the presence of infections disease markers. One of the reasons is the risk of giving the wrong (untested) blood to the wrong patient and transmitting HIV (and thus AIDS) or viral hepatitis. Another stated concern is the risk of creating additional problems in the laboratory by treating some units differently than other units. The argument continues that without this testing, blood bank and hospital personnel may be unnecessarily exposed to blood that has the potential to cause illness. Another justification for testing is given when the blood bank participates in crossover (transfusing blood to recipients other than the autologous donor/patient).

摘要

为避免同源血液传播疾病的风险,预存自体血对择期手术患者有用。在全球范围内,对于自体采集的血液是否应进行全面供者检测存在分歧。存在多种检测方面的担忧,这些担忧已演变成对所有自体血单位进行感染性疾病标志物检测的理由。其中一个原因是将错误(未检测)的血液输给错误患者并传播艾滋病毒(进而导致艾滋病)或病毒性肝炎的风险。另一个明确提到的担忧是,与其他单位不同地处理某些血单位可能会在实验室中引发额外问题。有一种观点继续认为,如果不进行这种检测,血库和医院工作人员可能会不必要地接触到有致病潜力的血液。当血库参与交叉输血(将血液输给自体供者/患者以外的受者)时,会给出检测的另一个理由。

相似文献

1
[The need for thorough infection screening in donors of autologous blood].[自体血捐献者进行全面感染筛查的必要性]
Beitr Infusionsther. 1991;28:313-6.
2
Autologous blood transfusion: standard of care for the 1990s.自体输血:20世纪90年代的护理标准。
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Infectious disease marker testing of the autologous blood donor. A case study in clinical ethics.自体献血者的传染病标志物检测。一项临床伦理学案例研究。
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[Expanded serologic infection testing of autologous blood donors: a report of experiences].
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[Preoperative autotransfusion for elective surgery].[择期手术的术前自体输血]
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