Jaroszyński Andrzej J, Bober-Palak Ewa, Jóźwiak Lucyna, Ksiazek Andrzej
Katedra i Klinika Nefrologii Akademii Medycznej w Lublinie.
Przegl Lek. 2007;64(7-8):528-30.
The management of severe anemia in patients who do not accept heterologous blood transfusion for religious reasons presents many different challenges both at the level of treatment strategy and ethics. Recently, new interventional treatment strategies have become available, including human and bovine hemoglobin substitutes and high-dose recombinant human erythropoietin. We present the successful management of two Jehovah's Witnesses patients with severe, life-threatening anemia caused by chronic renal failure and exacerbated by sepsis.
对于因宗教原因不接受异体输血的患者,重度贫血的管理在治疗策略和伦理层面都面临诸多不同挑战。近来,出现了新的介入治疗策略,包括人源和牛源血红蛋白替代品以及高剂量重组人促红细胞生成素。我们介绍了两名耶和华见证会患者重度、危及生命的贫血的成功管理案例,其贫血由慢性肾衰竭引起,并因败血症而加重。