Martin Lorena Pingarron, Arias-Gallo Javier, Perez-Chrzanowska Hanna, Seco Pilar Ruiz, Moro Javier Gonzalez M, Burgueño-Garcia Miguel
Oral and Maxillofacial Surgery, Ninth People Hospital, Shanghai, China.
Oral and Maxillofacial Surgery, Hospital Sanitas La Moraleja.
Craniomaxillofac Trauma Reconstr. 2013 Mar;6(1):31-6. doi: 10.1055/s-0033-1333828. Epub 2013 Jan 24.
Objective To study transfusion requirements in patients with cancer undergoing head and neck reconstructive surgery and to discuss surgical and anesthetic strategies to reduce blood loss when the patient is a Jehovah's Witness. Material and Methods A descriptive study to expose the percentage of blood transfusions performed in patients with cancer undergoing microsurgical reconstructions in the department of oral and maxillofacial surgery of the referred hospital in the past 9 years. Results Two hundred thirty-seven microsurgical reconstructions were performed in head and neck tumors between January 2001 and December 2009. Statistical analysis shows a significant decrease (p = 0.035) in the number of patients needing transfusions patients in recent years. Conclusions The treatment of patients who are Jehovah's Witnesses is an ethical and moral dilemma for the clinician and in particular for surgeons.
研究接受头颈部重建手术的癌症患者的输血需求，并讨论当患者是耶和华见证人的情况下减少失血的手术和麻醉策略。材料与方法：一项描述性研究，以揭示过去9年在该转诊医院口腔颌面外科接受显微外科重建的癌症患者中输血的百分比。结果：2001年1月至2009年12月期间对头颈部肿瘤进行了237例显微外科重建手术。统计分析显示近年来需要输血的患者数量显著减少（p = 0.035）。结论：对于临床医生，尤其是外科医生而言，治疗耶和华见证人的患者是一个伦理和道德困境。
