Schönhofer B, Böhrer H, Köhler D
Krankenhaus Kloster Grafschaft, Zentrum für Pneumologie, Beatmungs- und Schlafmedizin, Schmallenberg-Grafschaft, Germany.
Anaesthesia. 1998 Feb;53(2):181-4. doi: 10.1046/j.1365-2044.1998.00275.x.
We report a case series of five anaemic patients (haemoglobin: 8.7 +/- 0.8 g.dl-1) with chronic obstructive lung disease in whom trials of weaning from the ventilator were unsuccessful. After transfer to our regional weaning centre, blood was transfused to increase the haemoglobin value to 12 g.dl-1 or higher. Subsequently, all patients were weaned successfully. We conclude from our experience that in anaemic patients with chronic obstructive lung disease there should not be a fixed transfusion threshold. In anaemic patients in whom difficulty in weaning from the ventilator is experienced, blood transfusion should be tailored to the individual patient's needs. Transfusion in those with chronic obstructive airways disease may lead to successful weaning.
我们报告了一组病例，共五名患有慢性阻塞性肺疾病的贫血患者（血红蛋白：8.7±0.8 g.dl-1），他们的呼吸机撤机试验均未成功。转至我们的地区撤机中心后，对患者进行输血，使血红蛋白值升至12 g.dl-1或更高。随后，所有患者均成功撤机。根据我们的经验得出结论，对于患有慢性阻塞性肺疾病的贫血患者，不应有固定的输血阈值。对于撤机困难的贫血患者，应根据个体需求进行输血。慢性气道疾病患者输血可能会成功撤机。
