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面对拒绝输血治疗的患者时的实际问题。

Practical issues when confronting the patient who refuses blood transfusion therapy.

作者信息

Bennett D R, Shulman I A

机构信息

Los Angeles County + University of Southern California Medical Center 90033, USA.

出版信息

Am J Clin Pathol. 1997 Apr;107(4 Suppl 1):S23-7.

PMID:9124226
Abstract

Caring for the Jehovah's Witness patient poses unique challenges to the medical community. Understanding the patient's viewpoint regarding the refusal of blood and blood products is an essential component in treating these patients effectively. There are currently numerous alternatives to allogeneic blood products that can be used in a variety of settings. The intent of this article is to present the beliefs of Jehovah's Witnesses regarding blood transfusion and to review the use of crystalloids, colloids, hemostatic drugs, erythropoietin, hemodilution, blood salvaging, intraoperative blood-conserving strategies, and artificial blood solutions as alternative treatments for these patients.

摘要

照顾耶和华见证会的患者给医学界带来了独特的挑战。理解患者拒绝输血和血液制品的观点是有效治疗这些患者的重要组成部分。目前有许多替代异体血液制品的方法,可用于各种情况。本文旨在介绍耶和华见证会关于输血的信仰,并回顾晶体液、胶体液、止血药物、促红细胞生成素、血液稀释、血液回收、术中血液保护策略以及人工血液溶液作为这些患者替代治疗方法的应用。

相似文献

1
Practical issues when confronting the patient who refuses blood transfusion therapy.面对拒绝输血治疗的患者时的实际问题。
Am J Clin Pathol. 1997 Apr;107(4 Suppl 1):S23-7.
2
Jehovah's Witnesses: unique problems in a unique trauma population.耶和华见证人:特殊创伤人群中的独特问题。
J Am Coll Surg. 1997 May;184(5):458-68.
3
[Objectives of a bloodless surgery program. A comparative study (major surgery vs. minor-medium surgery) in 51 Jehova's Witnesses patients].[无血手术计划的目标。对51名耶和华见证会患者进行的一项比较研究(大手术与中小手术)]
Ann Ital Chir. 2002 Mar-Apr;73(2):197-209; discussion 209-10.
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[What we can learn from refusal of transfusion therapy from experience with Jehovah's Witnesses].[从耶和华见证人的输血治疗拒绝经历中我们能学到什么]
Lijec Vjesn. 1997 Aug-Sep;119(8-9):243-5.
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Johnny's story: transfusing a Jehovah's Witness.约翰尼的故事:为一名耶和华见证会信徒输血。
Pediatr Nurs. 1997 May-Jun;23(3):287-8; discussion 289-90, 317.
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[The refusal to consent to blood transfusion. Legal and medical aspects using Jehovah's Witnesses as an example].[拒绝同意输血。以耶和华见证人为例的法律和医学方面]
Anaesthesist. 1992 Jul;41(7):396-8.
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[Tolerating extreme intraoperative blood loss by a Jehovah's Witness patient].一名耶和华见证会患者耐受术中大量失血的情况
Anasthesiol Intensivmed Notfallmed Schmerzther. 1996 Oct;31(8):498-501. doi: 10.1055/s-2007-995970.
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Treatment of anaemia in the polytrauma Jehovah's Witness.多发性创伤耶和华见证人的贫血治疗
Ir Med J. 2003 Jan;96(1):8-10.
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Advances in general and vascular surgical care of Jehovah's Witnesses.耶和华见证人的普通外科和血管外科护理进展。
Int Surg. 2000 Jul-Sep;85(3):257-65.
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[Jehovah's Witnesses refusal of blood: religious, legal and ethical aspects and considerations for anesthetic management].[耶和华见证人的输血拒绝:宗教、法律和伦理方面以及麻醉管理的考量]
Rev Esp Anestesiol Reanim. 2006 Jan;53(1):31-41.

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Surgical management in treatment of Jehovah's witness in trauma surgery in Indian subcontinent.印度次大陆创伤外科中对耶和华见证人的手术治疗管理
J Emerg Trauma Shock. 2014 Jul;7(3):215-21. doi: 10.4103/0974-2700.136868.