Blood transfusion facilitating difficult weaning from the ventilator
Blood transfusion facilitating difficult weaning from the ventilator
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DOI：
10.1046/j.1365-2044.1998.00275.x
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发表时间：
1998-02-01
期刊：
影响因子：
10.7
通讯作者：
Köhler, D
中科院分区：
文献类型：
--
作者：
Schönhofer, B;Böhrer, H;Köhler, D
我们报告了五名患有慢性阻塞性肺病的贫血患者（血红蛋白：8.7 +/- 0.8 g.dl(-1)）的病例系列，其中尝试脱离呼吸机但不成功。转移到我们的区域断奶中心后，进行输血以将血红蛋白值提高到 12 g.dl(-1) 或更高。随后，所有患者均成功断奶。根据我们的经验，我们得出的结论是，对于患有慢性阻塞性肺病的贫血患者，不应有固定的输血阈值。对于难以脱离呼吸机的贫血患者，输血应根据患者个体的需要进行调整。患有慢性阻塞性气道疾病的患者输血可能会成功脱机。
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.