Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion最新文献_第8页

THE PRESENT CONDITIONS AND PROBLEMS OF NURSES WORKING AT TRANSFUSION SECTIONS IN JAPANESE HOSPITALS : FOR THE ESTABLISHMENT OF A CERTIFIED TRANSFUSION NURSE 日本医院输血科护士的现状与问题:为建立合格的输血护士

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-09-25 DOI: 10.3925/JJTC1958.50.596

T. Itoh, Hiromi Kanai, K. Takai, M. Hayashi, Y. Hoshi, H. Ohto

{"title":"THE PRESENT CONDITIONS AND PROBLEMS OF NURSES WORKING AT TRANSFUSION SECTIONS IN JAPANESE HOSPITALS : FOR THE ESTABLISHMENT OF A CERTIFIED TRANSFUSION NURSE","authors":"T. Itoh, Hiromi Kanai, K. Takai, M. Hayashi, Y. Hoshi, H. Ohto","doi":"10.3925/JJTC1958.50.596","DOIUrl":"https://doi.org/10.3925/JJTC1958.50.596","url":null,"abstract":"Nurses play an important role in managing patients and donors at the time of transfusion blood collection, and are required to have advanced knowledge of transfusion medicine and technology. To identify the present conditions and problems in blood collection, particularly at the time of aphereis procedure in hospitals, we performed a questionnaire survey of nurses working at Japanese Transfusion Society-certified transfusion institutions. We also asked the nurses for opinions on the certified transfusion nurse system. The recovery rate of the questionnaire was 55%. The ratio of responses of nurses belonging to transfusion sections was 36%. The proportion of hospitals performing 10 or more of apheresis procedures per month was 10%, 6-10 times, 9%; 3-5 times, 30%; and 1-2 times, 51%. About 40% of nurses were uneasy about managing donors or patients during the apheresis procedure, mainly related to sudden change in patient condition or mechanical trouble. Inadequate management and knowledge were considered to be the causes of the unease. About 70% of nurses approved of the establishment of a certified transfusion nurse system. From these questionnaire findings, the nursing system in transfusion sections was judged inadequate, and improvement is required. We also detected the necessity for better education of nurses regarding the technology of blood transfusion medicine. For this purpose, an authorization system led by a society is considered to be the most effective. The Japan Society of Blood Transfusion and The Japanese Society for Apheresis are expected to take the lead towards realization of these goals.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"596-604"},"PeriodicalIF":0.0,"publicationDate":"2004-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70335503","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

ABO型 minor mismatch 生体肝移植後に抗B抗体が長期間遷延した1症例 ABO型minor mismatch活体肝移植后抗B抗体长期迁延的1例病例

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-09-25 DOI: 10.3925/JJTC1958.50.626

忍藤井, 正浩桝屋, 由美田中, 古川美津子, 葛西千枝子, 憲行信田, 信行南, 伸二上本

{"title":"ABO型 minor mismatch 生体肝移植後に抗B抗体が長期間遷延した1症例","authors":"忍藤井, 正浩桝屋, 由美田中, 古川美津子, 葛西千枝子, 憲行信田, 信行南, 伸二上本","doi":"10.3925/JJTC1958.50.626","DOIUrl":"https://doi.org/10.3925/JJTC1958.50.626","url":null,"abstract":"We report a case of hemolytic anemia due to anti-B antibody after minor ABO-mismatched partial liver transplantation from a living donor. The patient was a 5-year-old girl with congenital biliary atresia, and group AB, Rh-positive blood. A partial liver transplant from her group A, D (Rh0) mother was performed. The recipient HLA was A2, 26; B54, 62; DR4, 15, and that of the donor was A2, -; B54, -; DR4, 14. This type of transplantation is the so-called one-way donor-recipient HLA matching. Her hemoglobin fell rapidly from 11.0g/dl to 6.0g/dl between days 10 and 15 after liver transplantation without evidence of bleeding. On day 14, anti-B IgM antibody was found in her serum. On day 16, two units of group O washed red blood cells were transfused, after which no further transfusions were required. This anti-B IgM antibody was thought to be produced from passenger B lymphocytes in the donor's liver. Although this type of antibody usually disappears within 4 weeks, it was continuously detected for about 4 months in this case. The long-term presence of anti-B antibody may be caused by one-way donor-recipient HLA matching.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"626-630"},"PeriodicalIF":0.0,"publicationDate":"2004-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70335870","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

当院における「輸血検査24時間体制」の構築我院构建“输血检查24小时体制”

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-06-25 DOI: 10.3925/JJTC1958.50.436

古川美津子, 篤芳丸山, 葛西千枝子, 由美田中, 忍藤井, 泰久中川, 信行南, 正浩桝屋

引用次数: 0

EFFECTS OF PRESTORAGE LEUKOCYTE REDUCTION IN ENDOTOXIN-CONTAMINATED AUTOLOGOUS BLOOD 内毒素污染的自体血液储存前白细胞减少的影响

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.581

M. Anan, M. Okubo, A. Yagishita, H. Ohki, A. Imai, Keiko Watanabe, Y. Kuboi, T. Shimada, Eriko Mori, R. Hirata, H. Maeda

{"title":"EFFECTS OF PRESTORAGE LEUKOCYTE REDUCTION IN ENDOTOXIN-CONTAMINATED AUTOLOGOUS BLOOD","authors":"M. Anan, M. Okubo, A. Yagishita, H. Ohki, A. Imai, Keiko Watanabe, Y. Kuboi, T. Shimada, Eriko Mori, R. Hirata, H. Maeda","doi":"10.3925/JJTC1958.50.581","DOIUrl":"https://doi.org/10.3925/JJTC1958.50.581","url":null,"abstract":"To clarify the effectiveness of prestorage leukocyte reduction for whole blood contaminated with endotoxin, we analyzed biochemical mediators, levels of cytokines, and aggregates in blood samples on storage for five weeks.From 12 healthy donors, 400mL of blood were collected into CPDA-1 bags as autologous blood samples. A standard E. coli-derived endotoxin (500pg/mL) was pulsed into all of the bags. Half of each blood sample was filtered to eliminate leukocytes. We assayed pH, Na, K, ATP, free Hb, 2, 3-DPG, LDH, bradykinin, C3a, aggregates, RANTES, granulocyte elastase, IFN-γ, IL-1β, TNF-α, and IL-6 at 3 hours and on days 7, 14, 21, and 35.There was no adverse effect of leukocyte reduction on erythrocytes. Levels of IL-1β and IL-6 in the leukocyte-reduced blood were significantly lower than those in blood without reduction. It was confirmed that the number of aggregates was decreased by filtration for leukocyte reduction.These results suggest that prestorage leukocyte reduction to reduce the risk of endotoxin-related adverse reactions is feasible for storage of autologous blood bags for five weeks, especially for patients with jaundice.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"581-587"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70335907","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

SENSITIVITY OF VARIOUS METHODS FOR DETECTING HLA CLASS I ANTIBODIES AND SCREENING FOR ALLOANTIBODIES IN 145 SERA SAMPLES FROM PATIENTS RECEIVING PLATELET TRANSFUSIONS:A COMPARISON OF AHG‑LCT LIFT PIFT MAGNETIC MPHA AND FlowPRA METHODS 145例接受血小板输注的患者血清样本中检测HLA I类抗体和筛选同种异体抗体的各种方法的敏感性:AHG - LCT LIFT PIFT磁性MPHA和FlowPRA方法的比较

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.753

S. Saito, M. Ota, Y. Katsuyama, H. Makishima, T. Tamai, K. Takayanagi, H. Asamura, H. Fukushima

引用次数: 1

A CASE OF DELAYED HEMOLYTIC TRANSFUSION REACTION PROBABLY CAUSED BY A PRIMARY IMMUNE RESPONSE 可能由原发性免疫反应引起的迟发性溶血性输血反应1例

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.768

K. Ishimaru, C. Tenman, Y. Fujiwara, M. Ohe, T. Kato, H. Ikeda

{"title":"A CASE OF DELAYED HEMOLYTIC TRANSFUSION REACTION PROBABLY CAUSED BY A PRIMARY IMMUNE RESPONSE","authors":"K. Ishimaru, C. Tenman, Y. Fujiwara, M. Ohe, T. Kato, H. Ikeda","doi":"10.3925/JJTC1958.50.768","DOIUrl":"https://doi.org/10.3925/JJTC1958.50.768","url":null,"abstract":"We report here a rare case of delayed hemolytic transfusion reaction (DHTR) probably caused by a primary immune response. The patient was a 32-year-old Japanese female who underwent surgery for ectopic pregnancy. For treatment of intraoperative hemorrhage shock, she received 5 units of RBCs (all positive for Jka, C and e antigen) that were crossmatch-compatible by indirect antiglobulin testing using polyethylene glycol (PEG-TAT). On day 22 after transfusion, she showed symptoms of hemoglobinuria, reticulocytosis, and elevated serum levels of LDH (1,106IU/L) and total-bilirubin (5.6mg/dL). She did not receive further transfusion during this period. On irregular antibody screening of patient serum collected 24 days after transfusion, anti-Jka was detected by PEG-TAT. Her blood was typed as B, DccEE, Jk (a-b+). She then received 1 unit of RBCs (Jka-negative but C, e-positive). Her anemia improved after transfusion and no hemolytic transfusion reaction was observed. IgM type anti-C + e in the patient detected on day 24 after the first transfusion did not seem to be involved in the DHTR because transfusion of C + e + RBCs on the 24th day did not cause DHTR. Further, we demonstrated that the immunoglobulin (Ig) class of the anti-Jka switched from IgM to IgG during the clinical course. These results suggest that the DHTR was probably due to anti-Jka caused by a primary immune response.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"768-773"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70336206","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: 8

THE RhDel ALLELE IN THE JAPANESE POPULATION 日本人的瑞德尔等位基因

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.710

Y. Ishikawa, H. Tsuneyama, M. Uchikawa, M. Satake

引用次数: 2

EVALUATION OF QUALITIES ON A CLOSED-BAG SYSTEM WITH WHOLE BLOOD LEUKOCYTE FILTER (WBF2) FOR PRE-STORAGE LEUKOREDUCTION 全血白细胞过滤器(wbf2)闭袋系统的质量评价

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/jjtc1958.50.34

S. Moriyama, M. Satake, R. Yasunaga, T. Yuasa, Yasuyuki Suzuki, K. Ishii

{"title":"EVALUATION OF QUALITIES ON A CLOSED-BAG SYSTEM WITH WHOLE BLOOD LEUKOCYTE FILTER (WBF2) FOR PRE-STORAGE LEUKOREDUCTION","authors":"S. Moriyama, M. Satake, R. Yasunaga, T. Yuasa, Yasuyuki Suzuki, K. Ishii","doi":"10.3925/jjtc1958.50.34","DOIUrl":"https://doi.org/10.3925/jjtc1958.50.34","url":null,"abstract":"In order to avoid a wide variety of side effects associated with blood transfusion such as nonhemolytic febrile transfusion reactions (NHFTR), HLA-sensitization and Cytomegalovirus infection. Leukocyte filters have come into wide use in bedside blood transfusion in Japan. During the storage of blood components, however, residual leukocytes disintegrate and release various biologically active substances, which constitute one of the causes of transfusion-related adverse events. Therefore, removal of leukocytes immediately or at an early stage after blood collection is expected to decrease the incidence of transfusion-related side effects by controlling the deterioration of blood cells or preventing the accumulation of cytokines.The WBF2 closed-bag system is a blood collection-component separation system designed for the removal of leukocytes from whole blood and the preparation of blood components by centrifugation. In the present study, we evaluated the usefulness of the system in the preparation of leukocyte-reduced RC-MAP and FFP using WBF2, and compared the quality of these preparations with those by conventional post-storage leukoreduction or non-leukoreduction. The WBF2 system yielded red cell components with superior red cell recovery and lower accumulation of some cytokines, demonstrating its suitability for use in a blood center program. It was also noted that there was almost no macroaggregation in red cell components prepared by prestorage leukoreduction.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"34-55"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70335355","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

A CASE OF TRANSFUSION REACTION ASSOCIATED WITH ANTI-IgA ANTIBODY 与抗iga抗体相关的输血反应1例

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.419

Y. Furuta, Naomi Higashi, Yoshihisa Watanabe, K. Isa, E. Shimada, K. Ikeda

引用次数: 1

BLOOD DONATION FOR AUTOLOGOUS USE BY ORTHOPEDIC PATIENTS WITHOUT THE USE OF RECOMBINANT ERYTHROPOIETIN 骨科患者不使用重组红细胞生成素的自体献血

Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion Pub Date : 2004-01-01 DOI: 10.3925/JJTC1958.50.693

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

{"title":"BLOOD DONATION FOR AUTOLOGOUS USE BY ORTHOPEDIC PATIENTS WITHOUT THE USE OF RECOMBINANT ERYTHROPOIETIN","authors":"K. Nibu, Yuriko Nomaguchi, K. Kubota, Y. Yoshiura, Midori Kumagawa, M. Naito","doi":"10.3925/JJTC1958.50.693","DOIUrl":"https://doi.org/10.3925/JJTC1958.50.693","url":null,"abstract":"We analyzed the use of recombinant erythropoietin (r-EPO) among 368 patients, each of whom had donated more than 800ml for later autologous transfusion during orthopedic surgery. Of the 269 patients who would have required r-EPO according to the health insurance authority guideline, 259 patients were able to donate blood without using r-EPO with no observed adverse effects, despite a significantly lower average Hb level (12.8±1.1g/dl) than the 99 patients who did not require r-EPO according to that guideline (14.8±0.7g/dl). The remaining 10 patients had Hb levels less than 11g/dL at the start of the blood donation and were given r-EPO. Analysis of the data of the two groups which did not use r-EPO revealed that there was no statistically significant difference in the mean total volume of donated blood nor in the frequency of required allogenic blood, but that the mean donation period was significantly longer in the 259 patients at 19.4±12.1 days vs 15.5±8.8 days. These findings therefore indicate that most orthopedic patients who need 800ml of blood during surgery can safely donate this amount of autologous blood without using r-EPO if they start donation 30 days or more prior to surgery.","PeriodicalId":86521,"journal":{"name":"Nihon Yuketsu Gakkai zasshi = Journal of the Japan Society of Blood Transfusion","volume":"50 1","pages":"693-698"},"PeriodicalIF":0.0,"publicationDate":"2004-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70335557","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