Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion最新文献_第7页

OFF-HOURS EMERGENCY TRANSFUSION MANUAL OF UNCROSSMATCHED BLOOD 非工作时间非配型血紧急输血手册

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.571

Yuji Kishimoto, F. Okamae, Yukari Terashima, Miyoko Arimoto, M. Hosokawa, Misao Abe, M. Yamaoka, T. Otani, Setsuko Teranishi, M. Munakata, Hakuo Takahashi, S. Fukuhara

{"title":"OFF-HOURS EMERGENCY TRANSFUSION MANUAL OF UNCROSSMATCHED BLOOD","authors":"Yuji Kishimoto, F. Okamae, Yukari Terashima, Miyoko Arimoto, M. Hosokawa, Misao Abe, M. Yamaoka, T. Otani, Setsuko Teranishi, M. Munakata, Hakuo Takahashi, S. Fukuhara","doi":"10.3925/JJTC1958.51.571","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.571","url":null,"abstract":"We introduced an automated instrument for pretransfusion testing during off-hours based on column agglutination technology. As the time required for testing ABO group and Rh type is at least 20 minutes, we also prepared manuals regarding emergency transfusion of uncrossmatched blood. During a two-year period, 25 patients received 209 units (8.4 units per patient) of group O blood, and 19 patients received 289 units (15.2 units per patient) of group-specific blood. Additionally, 5 patients received 98 units of group-specific blood following group O blood. Fourteen patients (26.9%) required massive transfusion (20 or more units of blood within 24 hours). Accurate blood typing was carried out by using a blood sample drawn from the patient prior to infusion of group O blood. Antibody screening was carried out using this specimen the next day, and if a patient was positive for an antibody, complete compatibility testing was also performed. All patients were followed clinically and for any signs of transfusion reactions or crossmatching difficulties, but none developed. Although one patient had anti-E antibody present on admission and received E antigen-positive blood, no elevation of antibody level or delayed hemolytic reaction occurred. Two near-miss incidents associated with clerical errors were experienced with group-specific blood transfusion. We conclude that urgent transfusion of uncrossmatched blood is safe, and that group O blood transfusion may be safer than group-specific blood transfusion in some emergency situations. Off-hour manuals based on the time required for blood preparation will avoid transfusion errors.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"571-577"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

BLOOD COMPONENT USAGE AT THE EMERGENCY AND CRITICAL CARE UNIT, FUKUOKA UNIVERSITY HOSPITAL 福冈大学医院急诊和重症监护病房的血液成分使用情况

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.430

Midori Kumagawa, K. Nibu, K. Kubota, Yuriko Nomaguchi, Y. Yoshiura

{"title":"BLOOD COMPONENT USAGE AT THE EMERGENCY AND CRITICAL CARE UNIT, FUKUOKA UNIVERSITY HOSPITAL","authors":"Midori Kumagawa, K. Nibu, K. Kubota, Yuriko Nomaguchi, Y. Yoshiura","doi":"10.3925/JJTC1958.51.430","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.430","url":null,"abstract":"We analyzed the usage of blood components at an Emergency and Critical Care Unit for 2 years, from 2001 to 2002. A total of 531 patients who received blood transfusions were divided into two groups, injured (group I; n=137 patients) and uninjured (group U; n=394 patients). Analysis of trigger points for transfusion revealed that group I showed statistically higher levels than those of group U, at 9.4 vs 8.6g/dl in Hemoglobin for red blood cell concentrates (RBCC), 69% vs 57% in prothrombin time for fresh frozen plasma (FFP) and 60, 000 vs 47, 000/μl in platelet counts for platelet concentrates. The trigger points in both groups for plasma transfusion were much higher than those recommended by the Government (30%). The FFP/RBCC ratios of transfused components were 0.31 in group I and 1.14 in group U. The cross-match/transfusion ratios were 1.3 in group I and 1.5 in group U, showing appropriate values. More than one kind of blood component was returned, however, during treatment in about one-half of group I and one-third of group U. Discussion of trigger points and other factors by the Blood Transfusion Committee is needed to determine the appropriate usage of blood components.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"430-434"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Identification of Preoperative Predictors of Intraoperative Blood Transfusion Requirements in Living Donor Liver Transplantation-Analysis of 772 Cases at a Single Center 活体肝移植术中输血需求的术前预测因素——单中心772例分析

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.601

Norimi Niwa, T. Yuasa, S. Kimura, H. Tsuji, K. Yurugi, Ryoko Takegawa, R. Hishida, H. Egawa, Koichi Tanaka, Hiroaki Asano, T. Maekawa

{"title":"Identification of Preoperative Predictors of Intraoperative Blood Transfusion Requirements in Living Donor Liver Transplantation-Analysis of 772 Cases at a Single Center","authors":"Norimi Niwa, T. Yuasa, S. Kimura, H. Tsuji, K. Yurugi, Ryoko Takegawa, R. Hishida, H. Egawa, Koichi Tanaka, Hiroaki Asano, T. Maekawa","doi":"10.3925/JJTC1958.51.601","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.601","url":null,"abstract":"Living-donor liver transplantation (LDLT) is now an important option for the treatment of patients with end-stage or irreversible liver disease. We have previously reported the quantities of blood required for transplantation in 772 cases of LDLT performed from June 1990 to March 2002 at Kyoto University Hospital. In the present study we retrospectively analyzed the preoperative factors associated with massive blood losses during LDLT. The patients were divided into two groups, with the upper quartile was defined as the high blood loss (HBL) group and the lower three quartiles as the low blood loss (LBL) group. Preoperative variables between the groups were compared and statistically analyzed by chi-square analysis or the Mann-Whitney U-test. Results showed that predictors of HBL were age ( 2.0g/dl), T-Bil (>10.0g/dl), D-Bil (>10.0g/dl), Cre (>1.0g/dl) and BUN (>30.0g/dl); pre-operative hospitalization; re-transplantation; and diagnosis (Biliary atresia, Budd-Chiari syndrome). In conclusion, particular care against the possibility of massive intra-operative blood loss should be taken in patients with low age, anemia, severe liver dysfunction, and renal dysfunction.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"601-608"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70337282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

THERAPEUTIC ANGIOGENESIS BY BONE MARROW MONONUCLEAR CELL TRANSPLANTATION AND QUANTITATIVE EVALUATION OF ENDOTHELIAL PROGENITOR CELLS IN PATIENTS WITH PERIPHERAL OBSTRUCTIVE ARTERIAL DISEASE 外周阻塞性动脉疾病患者骨髓单核细胞移植治疗性血管生成及内皮祖细胞的定量评价

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.537

Koji Yamamoto, Satoshi Suzuki, Masayoshi Kobayashi, T. Kondo, K. Komori, T. Murohara, J. Takamatsu

{"title":"THERAPEUTIC ANGIOGENESIS BY BONE MARROW MONONUCLEAR CELL TRANSPLANTATION AND QUANTITATIVE EVALUATION OF ENDOTHELIAL PROGENITOR CELLS IN PATIENTS WITH PERIPHERAL OBSTRUCTIVE ARTERIAL DISEASE","authors":"Koji Yamamoto, Satoshi Suzuki, Masayoshi Kobayashi, T. Kondo, K. Komori, T. Murohara, J. Takamatsu","doi":"10.3925/JJTC1958.51.537","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.537","url":null,"abstract":"We performed therapeutic angiogenesis by cell transplantation (TACT) for patients with peripheral obstructive arterial disease using autologous bone marrow mononuclear cells. The patients' symptom has begun to improve within several days after therapy, as did laboratory data (i. e., anklebrachial blood pressure index, thermography, percutaneous measurement of oxygen pressure). We quantified the mRNA expression of endothelial progenitor cell (EPC) -specific molecules (e. g., Flk-1, CD133, VE-cadherin, etc.) in bone marrow- or peripheral blood-derived mononuclear cells obtained from patients with ischemic limbs, using real time reverse transcription-PCR. The mRNA expression level of EPC markers was significantly lower in the patients than in healthy controls. We furthermore revealed the different expression pattern of EPC markers in several sources, including bone marrow and peripheral blood obtained from healthy volunteers or recombinant G-CSF-treated donors. The finding that the expression of EPC-specific molecules was decreased in the patients' marrow and blood suggests that patients with peripheral obstructive arterial diseases may have lower angiogenic potential. However, TACT with autologous marrow mononuclear cells was effective and increased the number of circulating EPCs in the patients' blood.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"537-542"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BENEFITS OF INTRODUCING PREDEPOSIT AUTOLOGOUS BLOOD COLLECTION PATHWAY IN OUR HOSPITAL 在我院引入预存自体采血途径的好处

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/jjtc1958.51.409

Miyako Sinji, Hiroyuki Morita, M. Matsuda, K. Tsushita

{"title":"BENEFITS OF INTRODUCING PREDEPOSIT AUTOLOGOUS BLOOD COLLECTION PATHWAY IN OUR HOSPITAL","authors":"Miyako Sinji, Hiroyuki Morita, M. Matsuda, K. Tsushita","doi":"10.3925/jjtc1958.51.409","DOIUrl":"https://doi.org/10.3925/jjtc1958.51.409","url":null,"abstract":"自己血輸血が同種血輸血による合併症の多くを回避することは論を待たない.待機的手術の場合には,輸血による合併症を最小限にする手段として貯血式自己血輸血の実施を考慮すべきである. しかし,貯血式自己血の採血,貯血行程は複雑であるため,知識と技術の必要性に加え,人手と時間がかかるなど,業務が煩わしく敬遠されやすいという欠点がある.この問題を克服する手段として,自己血採血,貯血法をクリニカルパスにすることが有効であると考え,厚生省の「自己血輸血:採血および保管管理マニュアル」に示された手順を基本的な方法として, 「自己血採血パス」を作成した. 今回,我々は,自己血輸血の推進を目的として, 「自己血採血パス」を紹介すると共に,その内容と活用方法,及びパス導入後の効果について報告する. 病院の概要当院は許可病床数 683 床,外来患者数 1,700 人日,手術件数 7,500 件年,赤血球製剤使用数 7,500 単位年,凍結血漿使用数 4,500 単位年の救命救原著","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"409-417"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of an Hla-B Mosaicism Observed in Apheresis Donor 单采供体Hla-B嵌合现象分析

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.530

S. Saito, Yumi Komatsu, S. Ota, K. Tamaki, Hideyuki Seshimo, Yuichiro Yamazaki, S. Nomura

{"title":"Analysis of an Hla-B Mosaicism Observed in Apheresis Donor","authors":"S. Saito, Yumi Komatsu, S. Ota, K. Tamaki, Hideyuki Seshimo, Yuichiro Yamazaki, S. Nomura","doi":"10.3925/JJTC1958.51.530","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.530","url":null,"abstract":"We encountered an apheresis donor with a suspected case of mosaicism. The donor, K. A., was a 46-year-old Japanese female registered as an HLA-compatible platelet concentrate (HLA-PCs) donor. In her HLA serological typing for HLA-PCs donor registration, three antigens, HLA-B55, -B61 and -B62, were assigned in the HLA-B locus. She was not a twin and had never undergone transfusion or transplantation. Flow cytometric analysis using platelets and lymphocytes indicated that HLA-B55, -B61 and -B62 antigens were simultaneously expressed on the surface of platelets and lymphocytes. HLA-B allele typing with the polymerase chain reaction restriction fragment length polymorphism technique using genomic DNA from peripheral blood and nails as a somatic sample was carried out to establish HLA-B mosaicism. Three alleles, HLA-B*5502, -B*4002 and B*1501, were assigned in both exon 2 and exon 3. HLA-B mosaicism was observed in both her peripheral blood and nails. The HLA-B*4002 and -B*1501 alleles were inherited by her son, who carried three HLA-B alleles, HLA-B*4002, -B*1501 and -B*4001. No other sign of chimerism or mosaicism was observed in other HLA loci antigens or red cell antigens. These results suggest that this donor has a chimeric allele consisting of a mixture of the nucleotide sequences of HLA-B*4002 and -B*1501 alleles.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"530-536"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PREOPERATIVE HEMORRHAGIC SHOCK AND INTRAOPERATIVE BLEEDING: TWO MAIN CAUSES OF SURGICAL DEATHS IN JAPAN 术前失血性休克和术中出血:日本手术死亡的两个主要原因

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.23

Y. Kawashima, K. Irita, K. Morita, K. Tuzaki, T. Sawa

{"title":"PREOPERATIVE HEMORRHAGIC SHOCK AND INTRAOPERATIVE BLEEDING: TWO MAIN CAUSES OF SURGICAL DEATHS IN JAPAN","authors":"Y. Kawashima, K. Irita, K. Morita, K. Tuzaki, T. Sawa","doi":"10.3925/JJTC1958.51.23","DOIUrl":"https://doi.org/10.3925/JJTC1958.51.23","url":null,"abstract":"The Japanese Society of Anesthesiologists (JSA) Subcommittee on Surveillance of Anesthesiarelated Critical Incidents sent confidential questionnaires to all JSA Certified Training Hospitals (n=806 on average) every year from 1999 to 2002. Data collected in the identical forms each year were analyzed for incidence of cardiac arrest and other critical events during anesthesia and surgery, and for outcomes within 7 postoperative days. The principal cause of each critical incident selected from a list of 52 items provided on the questionnaires was also analyzed.With an average response rate of 75.0%, a total of 4, 297, 066 cases were documented over 4 years. A total of 2, 860 patients died within 7 postoperative days. The two principal causes of deaths were preoperative hemorrhagic shock and massive hemorrhage during surgery (Fig. 2), representing 32.8% [95% CI at p<0.05: 31.0, 34.6] and 18.0% [15.1, 20.8] of cases, respectively (Fig. 3). The two principal causes of cardiac arrest during surgery and anesthesia were valso preoperative hemorrhagic shock and massive hemorrhage during surgery (Fig. 4). To reduce life-threatening hemorrhagic events in the operating room and mortality and morbidity within 7 postoperative days in Japan, analysis is need of causes of perioperative bleeding; sequences leading to fatality; adequacy of staffing levels in the operating room; as well as the functional state of the blood supply system from a blood bank, through transfusion service of the hospital to the operating room.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"51 1","pages":"23-31"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3925/JJTC1958.51.23","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

EFFICIENCY OF A CHECK SYSTEM FOR INFECTION AFTER BLOOD TRANSFUSION 输血后感染检查系统的效率

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2005-01-01 DOI: 10.3925/JJTC1958.51.32

S. Nagamine, Masako Takahashi, Kazuyoshi Watanabe, T. Tokuda, T. Fujii, Kei Tanaka, K. Yuki

引用次数: 1

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-11-10 DOI: 10.3925/JJTC1958.50.720

Akio Shigematsu, Masakatsu Yonezumi, Kiyotoshi Imai, N. Kobayashi, Yoshio Kiyama, Masahiro Ogasawara, Toshio Higa, Hitomi Chino, Reiko Miura, Shinichiro Sato, Mitsuhiro Fujiwara, Tatsuya Sekimoto, Toru Miyazaki, Hisami Ikeda, Masaharu Kasai

引用次数: 2

CLINICAL TRIAL OF PRESTORAGE LEUKOCYTE REDUCTION FOR AUTOLOGOUS BLOOD TRANSFUSION 自体输血前白细胞减少的临床研究

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-11-10 DOI: 10.3925/JJTC1958.50.704

T. Igari, H. Ohto, T. Ogata, K. Ikeda, Kaoru Sato, T. Takagi, K. Takeyama, Shigeo Aota, S. Kikuchi

引用次数: 0