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[奥地利血浆的采集与利用:迈向国家自给自足之路]

[Collection and utilization of plasma in Austria: on the way to national self-sufficiency].

作者信息

Bergmann H, Lukas M, Prusa P

机构信息

Ludwig Boltzmann-Institut für experimentelle Anaesthesiologie und intensivmedizinische Forschung Wien-Linz, Bereich Linz.

出版信息

Beitr Infusionsther Transfusionsmed. 1996;33:103-10.

PMID:8974681
Abstract

Self-sufficiency for plasma and plasma products on the basis of voluntary non-remunerated donation is more than guaranteed in Austria. Historically commercial enterprises are co-operating with the non profit sector of the Austrian Red Cross in an ideal way since more than 30 years. Austria needs about 16 millions IE of factor VIII yearly to treat the haemophilia patients as it should be. About 100,000 1 source plasma (FFP) coming from the industry and some 50,000 1 of frozen plasma per year being given for fractionation by the Red Cross Blood Transfusion Services seem to be sufficient for preparing the amount of factor VIII needed. Austria feels furthermore responsible to also fulfill its part as a member of the European Community in order to reach the common European goal of self-sufficiency in due time. As for the term "non remunerated' it is our strong concern that to compensate the plasma donor's time- and work-spending by reinbursement does not mean any sort of "payment'. We agree herewith with the opinion of the "Arbeitskreis Blut' in Germany. To change the successful way of having enough raw material to treat all our haemophilia patients with the necessary amounts of factor VIII by abruptly and artificially pressing for unpaid plasma donations would be a bad decision. By certainly not getting enough plasma by using such an unusual way this idea would not be successful. Austrian Red Cross does not intend to create own plasmapheresis-centres.

摘要

在奥地利,基于自愿无偿献血实现血浆及血浆制品的自给自足是完全可以保证的。从历史上看,30多年来商业企业一直与奥地利红十字会的非营利部门进行着理想的合作。奥地利每年大约需要1600万国际单位的凝血因子VIII来恰当地治疗血友病患者。来自企业的约10万升原料血浆(新鲜冰冻血浆)以及每年由红十字输血服务机构提供用于分馏的约5万升冰冻血浆,似乎足以制备所需数量的凝血因子VIII。此外,奥地利认为自己作为欧洲共同体的成员,有责任履行自己的义务,以便及时实现欧洲血浆自给自足的共同目标。至于“无报酬”一词,我们强烈关注的是,通过报销来补偿血浆捐献者的时间和工作花费并不意味着任何形式的“支付”。我们在此同意德国“血液工作组”的观点。突然且人为地强制要求无偿捐献血浆,以此改变拥有足够原材料来用所需数量的凝血因子VIII治疗所有血友病患者的成功方式,将是一个糟糕的决定。通过这种不寻常的方式肯定无法获得足够的血浆,这个想法不会成功。奥地利红十字会不打算设立自己的单采血浆中心。

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