Departments of Medicine, Pathology, and Pediatrics, Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon.
Clin Adv Hematol Oncol. 2020 Dec;18(12):826-836.
The use of blood transfusions is a mainstay of modern medical practice. Jehovah's Witnesses decline the use of blood transfusions as a matter of faith, however, and other patients do so for personal reasons. In all cases, it is important to document what blood products can or cannot be used. It is also essential to test all patients for iron deficiency, and to address any correctable factors in those who are anemic. This article reviews a variety of options that are available to aid in caring for patients who refuse blood transfusions, ranging from tranexamic acid to erythropoiesis-stimulating agents. With the use of these treatments, patients who decline blood transfusion can be safely managed in situations ranging from elective surgery to stem cell transplant to pregnancy.
输血是现代医学实践的主要手段。然而，耶和华见证会信徒出于信仰拒绝输血，而其他患者则出于个人原因拒绝输血。在所有情况下，记录哪些血液制品可以或不能使用都很重要。此外，还必须对所有患者进行缺铁检测，并针对贫血患者纠正任何可纠正的因素。本文回顾了各种可供选择的治疗方法，以帮助那些拒绝输血的患者，从氨甲环酸到促红细胞生成素刺激剂。使用这些治疗方法，从择期手术到干细胞移植到妊娠，拒绝输血的患者可以在安全的情况下得到管理。
