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骨髓增生异常综合征及其他疾病的限制性输血与宽松性输血策略比较。

Restrictive Versus Liberal Transfusion Strategies in Myelodysplastic Syndrome and Beyond.

机构信息

Sidney Kimmel Cancer Center of Thomas Jefferson University Hospital, Philadelphia, PA.

Sidney Kimmel Cancer Center of Thomas Jefferson University Hospital, Philadelphia, PA.

出版信息

Clin Lymphoma Myeloma Leuk. 2019 Dec;19(12):758-762. doi: 10.1016/j.clml.2019.10.001. Epub 2019 Oct 13.

DOI:10.1016/j.clml.2019.10.001
PMID:31678078
Abstract

Anemia is the most common cytopenia seen in the myelodysplastic syndromes (MDS). The majority of patients with MDS will require red blood cell (RBC) transfusions during the course of their disease. However, unlike many other disease groups, there is no consensus on the optimal strategy for RBC transfusion in this patient population. In this article, we review the data supporting the use of restrictive transfusion strategies in multiple patient populations and discuss the current literature regarding transfusion management in patients with MDS.

摘要

贫血是骨髓增生异常综合征(MDS)中最常见的细胞减少症。大多数 MDS 患者在疾病过程中需要输注红细胞(RBC)。然而,与许多其他疾病群体不同,对于该患者群体中 RBC 输注的最佳策略尚无共识。在本文中,我们回顾了支持在多种患者群体中采用限制性输血策略的数据,并讨论了关于 MDS 患者输血管理的当前文献。

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Restrictive Versus Liberal Transfusion Strategies in Myelodysplastic Syndrome and Beyond.骨髓增生异常综合征及其他疾病的限制性输血与宽松性输血策略比较。
Clin Lymphoma Myeloma Leuk. 2019 Dec;19(12):758-762. doi: 10.1016/j.clml.2019.10.001. Epub 2019 Oct 13.
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The clinical, quality of life, and economic consequences of chronic anemia and transfusion support in patients with myelodysplastic syndromes.骨髓增生异常综合征患者慢性贫血和输血支持的临床、生活质量和经济后果。
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引用本文的文献

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Cost Reduction in Blood Transfusions After Implementation of Decision Protocol Based on Hemoglobin and Anemia Symptoms: A Pre-Post Analysis.基于血红蛋白和贫血症状的决策方案实施后输血成本的降低:一项前后分析
Med Sci Monit. 2024 Dec 4;30:e945854. doi: 10.12659/MSM.945854.
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Appropriateness of Allogeneic Red Blood Cell Transfusions in Non-Bleeding Patients in a Large Teaching Hospital: A Retrospective Study.大型教学医院非出血患者同种异体红细胞输注的适宜性:一项回顾性研究
J Clin Med. 2023 Feb 6;12(4):1293. doi: 10.3390/jcm12041293.