RECOMBINANT-HUMAN-ERYTHROPOIETIN FOR A JEHOVAH WITNESS WITH ANEMIA OF THERMAL-INJURY

被引:24
作者
BOSHKOV, LK
TREDGET, EE
JANOWSKAWIECZOREK, A
机构
[1] UNIV ALBERTA HOSP,DEPT MED,EDMONTON T6G 2B7,ALBERTA,CANADA
[2] UNIV ALBERTA HOSP,DEPT SURG,EDMONTON T6G 2B7,ALBERTA,CANADA
关键词
RECOMBINANT HUMAN ERYTHROPOIETIN (RH-EP); BURNS; ANEMIA;
D O I
10.1002/ajh.2830370113
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the use of recombinant human erythropoietin (rh-Ep) as an alternative to transfusion therapy in a burn victim who was a Jehovah's Witness and refused blood transfusion. Despite endogenous elevated erythropoietin levels, the patient was reticulocytopenic and administration of rh-Ep was accompanied by a 10-fold increase in reticulocyte response and a rise in hemoglobin from 7.4 to 10.4 g/dl over a 12-day period. We suggest that the exogenously administered erythropoietin overcame a clinically inadequate endogenous erythropoietin response.
引用
收藏
页码:53 / 54
页数:2
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