Reducing Postburn Injury Anemia in a Jehovah's Witness Patient

被引:5
作者
Barsun, Alura [1 ]
Sen, Soman [1 ]
Palmieri, Tina L. [1 ]
Greenhalgh, David G. [1 ]
机构
[1] Univ Calif Davis, Dept Surg, Div Burn Surg, Davis, CA 95616 USA
关键词
RECOMBINANT-HUMAN-ERYTHROPOIETIN; TRANEXAMIC ACID; BLOOD-LOSS; ASCORBIC-ACID; BURN INJURY; EXCISION; RESUSCITATION; EFFICACY; CARE;
D O I
10.1097/BCR.0b013e3182a366c5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Anemia is a complication of severe burn injury. Burn patients who refuse blood transfusions, such as Jehovah's Witnesses, present difficult challenges, and treatment paradigms need to be altered to reduce blood loss and increase red cell restoration. In this report the authors present a case of a 36-year-old Jehovah's Witness who suffered a 35% TBSA burn injury. In addition to standard burn injury treatment, the authors attempted to reduce blood loss with a combination of intraoperative (tranexamic acid) and perioperative (erythropoietin, intravenous iron) strategies.
引用
收藏
页码:E258 / E261
页数:4
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