Kim Kyung Hee, Oh Ki Young
Department of Laboratory Medicine, Gachon University Gil Medical Center, Incheon.
Department of Physical Medicine and Rehabilitation, Soonchunhyang University, Cheonan Hospital, Cheonan, South Korea.
J Blood Med. 2016 Jul 18;7:139-44. doi: 10.2147/JBM.S108479. eCollection 2016.
Phlebotomy is the removal of blood from the body, and therapeutic phlebotomy is the preferred treatment for blood disorders in which the removal of red blood cells or serum iron is the most efficient method for managing the symptoms and complications. Therapeutic phlebotomy is currently indicated for the treatment of hemochromatosis, polycythemia vera, porphyria cutanea tarda, sickle cell disease, and nonalcoholic fatty liver disease with hyperferritinemia. This review discusses therapeutic phlebotomy and the related disorders and also offers guidelines for establishing a therapeutic phlebotomy program.
放血疗法是从体内抽取血液,而治疗性放血是治疗血液疾病的首选方法,在这些疾病中,去除红细胞或血清铁是控制症状和并发症最有效的方法。目前,治疗性放血适用于治疗血色素沉着症、真性红细胞增多症、迟发性皮肤卟啉症、镰状细胞病以及伴有高铁蛋白血症的非酒精性脂肪性肝病。本文综述了治疗性放血及相关疾病,并提供了建立治疗性放血方案的指导原则。