血小板输血 血小板输血
David F Stroncek1, Paolo Rebulla
1Department of Transfusion Medicine, Clinical Center, National Institutes of Health, Bethesda, Maryland 20892-1184, USA. dstroncek@cc.nih.gov
Lancet (London, England)
|August 7, 2007
概括
血小板输血对于治疗各种疾病至关重要,但存在感染和免疫反应等风险. 本综述涵盖了血小板组件,修改和改善输血安全性和有效性的做法.
科学领域:
- 血液学 血液学 血液学
- 输血医学 输血医学
背景情况:
- 血小板输血对于治疗癌症,血液性恶性瘤,大髓衰竭和干细胞移植至关重要.
- 在美国和欧洲,每年输血超过440万个血小板产品.
- 尽管有好处,但血小板输血存在风险,包括感染传播和免疫反应,如与免疫接种.
研究的目的:
- 审查常用的血小板成分和产品修改.
- 讨论当前的输血实践及其变化.
- 概述与血小板输血相关的不良后果.
主要方法:
- 关于血小板成分,修改和输血实践的文献审查.
- 对输血指示,剂量和对所有免疫接收者的管理进行分析.
- 检查不良事件和并发症.
主要成果:
- 存在几种类型的血小板成分,可用于减轻输血并发症的修改.
- 输血实践,包括指示和剂量,在不同地区有很大的差异.
- 同免疫接种仍然是一个重大挑战,影响了输血的有效性.
结论:
- 了解血小板组件,修改和实践对于优化输血治疗至关重要.
- 解决输血方案的变化和管理免疫接种可以改善患者的治疗结果.
- 需要进一步的研究和实践标准化,以提高血小板输血的安全性和有效性.
相关概念视频
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