重建整体血液交换输血的使用和浪费:一项为期11年的全国观测研究
Derek P de Winter1, Enrico Lopriore2, Christian V Hulzebos3
1Division of Neonatology, Department of Pediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, the Netherlands; Division of Fetal Medicine, Department of Obstetrics, Leiden University Medical Center, Leiden, the Netherlands; Department of Immunohematology Diagnostic Services, Sanquin Diagnostic Services, Amsterdam, the Netherlands.
The Journal of pediatrics
|August 2, 2024
概括
荷兰很少使用交换输血,近一半的订购产品未使用. 严重的ABO/非ABO免疫血液溶解导致高白血是这种新生儿手术的首要症状.
科学领域:
- 新生儿医学 新生儿医学
- 血液学 血液学 血液学
- 儿科输血医学 儿科输血医学
背景情况:
- 交换输血是严重的高白血和血液溶解的关键新生儿手术.
- 了解产品的使用率和输血的流行率对于资源管理至关重要.
研究的目的:
- 为了确定新生儿交换输血的指示.
- 评估交换输血产品的利用和浪费情况.
- 为了确定荷兰交换输血的全国性流行情况.
主要方法:
- 追溯性,观察性队列研究.
- 从9个新生儿重症监护室和15个非新生儿重症监护室医院收集的数据.
- 在11年的时间里,对574名新生儿订购的1265种产品进行了分析.
主要成果:
- 最常见的症状是严重的ABO (32.6%) 和非ABO (25.2%) 免疫血液溶解导致高白血症.
- 约有50%的订购产品未使用,通常是由于超白血症或强化光疗的解决.
- 接受交换输血的新生儿的患病率为每10万活产婴儿中有14.6例.
结论:
- 很大一部分交换输血产品被浪费.
- 新生儿交换输血在荷兰很少进行.
- 优化产品的订购和可用性是非常重要的,考虑到低普及率和高浪费率.
关键词:
交换输血进行输血.过高bilirubinemia 这种疾病.pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis pertussis患病率的流行情况.相关概念视频
Blood Transfusion and Agglutination
10.8K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
10.8K
Blood Transfusion
533
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
533
Bone Marrow Sampling and Transplants
318
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
318


