Tsubokawa K, Narita M, Mase E, Murakami I, Otagiri T, Kurokochi N, Mori K
Department of Anesthesiology and Resuscitology, Shinshu University, School of Medicine, Matsumoto.
Masui. 1996 Jan;45(1):111-4.
We experienced the anesthetic management of 10 Jehovah's Witness patients. Some patients accepted either blood products, autologous blood transfusion with closed circuit, or Cell Saver. The patients' families expressed their wish that blood transfusion could be done in life threatening situations against the patient's wish in some cases. It would be desirable to clear up an acceptable standard and write out it in each medical institution to avoid conflicts with the patient and families. Prior agreement is required among medical staffs on refusal of blood transfusion.
我们对10名耶和华见证会患者进行了麻醉管理。一些患者接受了血液制品、封闭式自体输血或血液回收机。患者家属表示,在某些情况下,即使患者不愿意,在危及生命的情况下也希望进行输血。各医疗机构应明确一个可接受的标准并书面记录,以避免与患者及其家属发生冲突。医务人员在拒绝输血问题上需要事先达成一致。