在战区实施跨国“流动血库”：一支部署到阿富汗某医疗设施的卫生服务团队的经验。
The implementation of a multinational "walking blood bank" in a combat zone: The experience of a health service team deployed to a medical treatment facility in Afghanistan.
作者信息
Garcia Hejl Carine, Martinaud Christophe, Macarez Remi, Sill Joshua, Le Golvan Armelle, Dulou Renaud, Longin Roche Celine, De Rudnicki Stephane
机构信息
From the Hopital d'Instruction des Armees Percy (C.G.H.), Federation de Biologie Clinique; and Centre de Transfusion Sanguine des Armees (C.M., C.L.R.), Clamart; and Hopital d'Instruction des Armees du Val de Grace (S.D.R., R.D.), Departement d'Anesthesie-Reanimation and Service de Neurochirurgie, Paris, France; Eastern Virginia Medical School (J.S.), Department of Internal Medicine Pulmonary/Critical Care Division, Norfolk, Virginia; and Cabinet Medical (A.L.G.), Saint Leon; and Direction Centrale du Service de Sante des Armees (R.M.), Fort neuf de Vincennes, Sous Direction Hopitaux Recherche, Bureau Offre de Soins, Paris, France.
出版信息
J Trauma Acute Care Surg. 2015 May;78(5):949-54. doi: 10.1097/TA.0000000000000618.
BACKGROUND
We present here a description of the experience in whole-blood transfusion of a health service team deployed to a medical treatment facility in Afghanistan from June 2011 to October 2011. The aim of our work was to show how a "walking blood bank" could provide a sufficient supply.
METHODS
We gathered the blood-group types of military personnel deployed to the theater of operations to evaluate our "potential walking blood bank," and we compared these data with our needs.
RESULTS
Blood type frequencies among our "potential walking blood bank" were similar to those observed in European or American countries. Our resources could have been limited because of a low frequency of B blood type and negative rhesus in our "potential walking blood bank." Because of the large number of potential donors in the theater of operations, the risk of blood shortage was quite low and we did not face blood shortage despite significant transfusion requirements. Actually, 93 blood bags were collected, including rare blood types like AB and B blood types.
CONCLUSION
In our experience, this international "walking blood bank" provided a quick, safe, and sufficient blood supply. More research in this area is needed, and our results should be confirmed by further prospective trials.
LEVEL OF EVIDENCE
Therapeutic study, level V.
背景
本文介绍了2011年6月至2011年10月部署到阿富汗一家医疗设施的医疗服务团队进行全血输注的经验。我们工作的目的是展示一个“流动血库”如何能够提供充足的血液供应。
方法
我们收集了部署到行动战区的军事人员的血型，以评估我们的“潜在流动血库”，并将这些数据与我们的需求进行比较。
结果
我们“潜在流动血库”中的血型频率与在欧洲或美国观察到的频率相似。由于我们“潜在流动血库”中B型血和Rh阴性血的频率较低，我们的资源可能受到限制。由于行动战区潜在献血者数量众多，血液短缺的风险相当低，尽管有大量输血需求，我们并未面临血液短缺。实际上，共收集了93袋血液，包括AB型和B型等稀有血型。
结论
根据我们的经验，这个国际“流动血库”提供了快速、安全且充足的血液供应。该领域需要更多研究，我们的结果应通过进一步的前瞻性试验加以证实。
证据水平
治疗性研究，V级。
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