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在新南威尔士州西部建立农村及偏远地区单采服务:奥兰治医院的经验。

Establishing a rural and remote apheresis service in Western New South Wales: the Orange Hospital experience.

作者信息

Ng Jun Y, Fernando Savisha, Phipps Lisa, Wong Charmaine, Fogo Karen, Crameri Donna, Lenton Douglas

机构信息

Department of Haematology, Orange Health Service, Orange, New South Wales, Australia.

School of Medicine and Psychology, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.

出版信息

Intern Med J. 2025 Apr;55(4):669-672. doi: 10.1111/imj.70039. Epub 2025 Apr 3.

DOI:10.1111/imj.70039
PMID:40177836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11981023/
Abstract

Traditionally, patients requiring therapeutic apheresis from rural and remote areas have been compelled to seek treatment at metropolitan hospitals, at great social and economic cost to the patient and the health service, or to receive in-patient apheresis in local intensive care units using renal replacement therapy machines. We outline our experience establishing an apheresis service in Western New South Wales. Our experience demonstrates that a clinically and economically viable apheresis service in the rural setting can be established.

摘要

传统上,来自农村和偏远地区需要治疗性血液成分单采的患者不得不前往大城市医院接受治疗,这给患者和医疗服务带来了巨大的社会和经济成本,或者在当地重症监护病房使用肾脏替代治疗机器进行住院血液成分单采。我们概述了在新南威尔士州西部建立血液成分单采服务的经验。我们的经验表明,在农村地区可以建立临床和经济上可行的血液成分单采服务。

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本文引用的文献

1
Retrospective analysis comparing complication rates of centrifuge vs membrane-based therapeutic plasma exchange in the pediatric population.回顾性分析比较离心法与膜式治疗性血浆置换在儿科人群中的并发症发生率。
J Clin Apher. 2022 Jun;37(3):263-272. doi: 10.1002/jca.21969. Epub 2022 Feb 9.
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Comparison of centrifugal and membrane filtration modalities on therapeutic plasma exchange.离心和膜过滤方式在治疗性血浆置换中的比较。
J Clin Apher. 2022 Jun;37(3):217-222. doi: 10.1002/jca.21961. Epub 2022 Jan 3.
3
Guidelines on the Use of Therapeutic Apheresis in Clinical Practice - Evidence-Based Approach from the Writing Committee of the American Society for Apheresis: The Eighth Special Issue.临床实践中治疗性血液成分单采术的使用指南——美国血液成分单采学会写作委员会基于证据的方法:第八期特刊
J Clin Apher. 2019 Jun;34(3):171-354. doi: 10.1002/jca.21705.
4
Membrane versus centrifuge-based therapeutic plasma exchange: a randomized prospective crossover study.基于膜式与离心式的治疗性血浆置换:一项随机前瞻性交叉研究。
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Therapeutic apheresis services provided by a community blood bank.社区血库提供的治疗性血液成分单采服务。
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