Makani Julie, Roberts David J
Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, PO Box 65001, Dar-es-Salaam, Tanzania.
Radcliffe Department of Medicine, University of Oxford, National Health Service Blood and Transplant, John Radcliffe Hospital, Oxford OX3 9BQ, UK.
Hematol Oncol Clin North Am. 2016 Apr;30(2):457-75. doi: 10.1016/j.hoc.2015.12.002.
This review of hematology in Africa highlights areas of current practice and the immediate needs for development and clinical research. Acute hematological practice is dominated by anemia, sickle cell disease, and the need to provide a safe and rapidly available supply of blood. There is a growing need for specialist services for bleeding and coagulation, hematological malignancy, and palliative care. There are many areas of practice where straightforward measures could yield large gains in patient care. There is an urgent need for good clinical research to describe the epidemiology, natural history, and management of hematological diseases in Africa.
这篇关于非洲血液学的综述突出了当前的实践领域以及发展和临床研究的迫切需求。急性血液学实践主要围绕贫血、镰状细胞病以及提供安全且可快速获取的血液供应需求。对出血与凝血、血液系统恶性肿瘤及姑息治疗的专科服务需求日益增长。在许多实践领域,直接的措施就能在患者护理方面取得显著成效。迫切需要开展高质量的临床研究来描述非洲血液学疾病的流行病学、自然史及管理情况。