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使用红细胞置换术治疗镰状细胞病的急性并发症。

Use of red blood cell exchange for treating acute complications of sickle cell disease.

作者信息

Kozanoglu Ilknur, Ozdogu Hakan

机构信息

Baskent University Medical Faculty Department of Physiology, Turkey; Baskent University Dr. Turgut Noyan Research and Training Center Apheresis Unit, Turkey.

Baskent University Dr. Turgut Noyan Research and Training Center Apheresis Unit, Turkey; Baskent University Medical Faculty Department of Hematology, Turkey.

出版信息

Transfus Apher Sci. 2018 Feb;57(1):23-26. doi: 10.1016/j.transci.2018.02.011. Epub 2018 Feb 21.

DOI:10.1016/j.transci.2018.02.011
PMID:29525569
Abstract

Sickle cell disease (SCD) is a life-threatening chronic condition primarily caused by genetic mutation. The disease is characterized by intermittent vaso-occlusive events and chronic hemolytic anemia. Acute complications in patients with SCD are difficult to manage due to the pathophysiological nature of the disease. Transfusion therapy is the cornerstone of management of acute complications and significantly reduces SCD morbidity and mortality. Red cell exchange (RCE), which is characterized by low iron accumulation and volume overload, has been widely used for transfusion therapy in recent years.

摘要

镰状细胞病(SCD)是一种主要由基因突变引起的危及生命的慢性疾病。该疾病的特征是间歇性血管阻塞事件和慢性溶血性贫血。由于该疾病的病理生理特性,SCD患者的急性并发症难以处理。输血治疗是急性并发症管理的基石,可显著降低SCD的发病率和死亡率。红细胞置换(RCE)具有铁蓄积少和容量超负荷的特点,近年来已广泛用于输血治疗。

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Use of red blood cell exchange for treating acute complications of sickle cell disease.使用红细胞置换术治疗镰状细胞病的急性并发症。
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Effectiveness of red blood cell exchange, partial manual exchange, and simple transfusion concurrently with iron chelation therapy in reducing iron overload in chronically transfused sickle cell anemia patients.红细胞置换、部分手工置换以及单纯输血联合铁螯合疗法在降低慢性输血性镰状细胞贫血患者铁过载方面的有效性。
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