耶和华在发挥作用巨型血管瘤的故事 - 我们能在没有血液或血液制品的情况下进行肝脏大部切除术吗?

A. Naragund, Sharath S Kumar, R. Muddasetty
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引用次数: 0

摘要

血管瘤是肝脏常见的良性病变。它们通常没有症状。卡萨巴赫-梅里特综合征是一种不常见的需要治疗的肝血管瘤表现。在此,我们介绍一例患有巨大肝血管瘤和卡萨巴赫-梅里特综合征的 26 岁耶和华见证会女性患者。由于术中出血的风险,她被拒绝在其他地方进行手术。通过适当的术前计划和团队合作,我们成功切除了肝血管瘤,且无需输血。我们介绍这个病例是想告诉大家,使用低中心静脉压、血液稀释、精细的手术技巧、术中血细胞抢救和自体输血不仅可以避免耶和华见证会信徒的异体输血,也可以避免普通人群的异体输血。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Jehovah playing his part: A tale of giant hemangioma – Can we do major liver resections without blood or blood products?
Hemangiomas are common benign lesions of the liver. They are generally asymptomatic. Kasabach–Merritt syndrome is an uncommon presentation of hepatic hemangioma requiring treatment. Here, we present a case of a 26-year-old female of Jehovah’s Witness with large hepatic hemangioma and Kasabach–Merritt syndrome. She was refused surgery elsewhere due to the risk of intraoperative hemorrhage. With proper preoperative planning and a team approach, we have performed the successful resection of hemangioma without the need for blood transfusion. We present this case to convey that the use of low central venous pressure, hemodilution, meticulous surgical technique, and intraoperative blood cell salvage and autotransfusion can avoid allogeneic blood transfusion not only in Jehovah’s Witness but also in the general population.
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