Département de médecine, hôpitaux universitaires de Genève, 4, rue Gabrielle Perret-Gentil, 1211 Genève, Switzerland.
Transfus Clin Biol. 2021 Nov;28(4):364-366. doi: 10.1016/j.tracli.2021.08.352. Epub 2021 Aug 28.
Hemolysis is a clinical entity, which can be severe. It is commonly of multifactorial etiology. The activity of a specialist in transfusion medicine consists in treating the patient with transfusion support in case of severe anemia. If the etiology is partly alloimmune this therapeutic strategy is more arduous. Immunohematological work-up must be very rigorous to ensure transfusion management with utmost safety. However, without the precise knowledge of both the clinical condition and the treatment (current and past) of the patient, such management is impossible.
溶血是一种临床病症,可能很严重。它通常是多因素病因。输血医学专家的工作是在严重贫血的情况下用输血支持来治疗患者。如果病因部分是同种免疫性的,这种治疗策略就更加困难。免疫血液学检查必须非常严格,以确保输血管理的最大安全性。然而,如果没有对患者的临床状况和治疗(现在和过去)的准确了解,这种管理是不可能的。