Krishnamoorthy A, Hadi F A, Naidu A, Sathar J
Hospital Raja Permaisuri Bainun, Rehabilitation Medicine Department, Jalan Raja Ashman, 30450 Ipoh, Perak, Malaysia.
Vifor Pharma Asia Pacific, Singapore.
Med J Malaysia. 2017 Feb;72(1):53-54.
Anaemia is a common condition in Malaysia, and is mostly due to iron deficiency. In many cases, allogeneic blood transfusion (ABT) is administered unnecessarily to treat anaemia. Patient blood management (PBM) is a concept whereby a patient becomes his or her "own blood bank", instead of receiving ABT. The concept encompasses three pillars namely optimising erythropoiesis, minimising blood loss and harnessing human physiological reserve. We present a safe and fruitful outcome of managing severe anaemia without utilising any ABT, made possible with the PBM approach including administration of intravenous iron.
贫血在马来西亚是一种常见病症，主要由缺铁引起。在许多情况下，不必要地进行了异体输血（ABT）来治疗贫血。患者血液管理（PBM）是一种理念，即患者成为自己的“血库”，而非接受异体输血。该理念包含三个支柱，即优化红细胞生成、减少失血和利用人体生理储备。我们展示了一种在不使用任何异体输血的情况下管理严重贫血的安全且有效的成果，这通过包括静脉注射铁剂在内的患者血液管理方法得以实现。
