Blood Transfusion Therapy for the Disease of Pediatric Hematology and Oncology
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- HORIKOSHI Yasuo
- Devision of Hemotology and Oncology, Shizuoka Children's Hospital Pediatric Transfusion Medicine Conference
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- SHIRAHATA Akira
- Pediatric Transfusion Medicine Conference
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- OSADA Koji
- Pediatric Transfusion Medicine Conference
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- OHARA Akira
- Pediatric Transfusion Medicine Conference
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- WATANABE Arata
- Pediatric Transfusion Medicine Conference
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- NISHIKAWA Kenichi
- Pediatric Transfusion Medicine Conference
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- FUJIMURA Yoshihiro
- Pediatric Transfusion Medicine Conference
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- HOSHI Yasutaka
- Pediatric Transfusion Medicine Conference
Bibliographic Information
- Other Title
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- 小児血液腫瘍性疾患に対する輸血療法
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Abstract
Pediatric Transfusion Medicine Conference conducted a survey of pediatric hematologists to obtain consensus for the Guideline on Transfusion Practice announced in September 2005. Most approved of the guideline and agreed on the proposed cutoff level for hemoglobin of 7 g/dl, for a platelet count of 10, 000-20, 000 / μl, and for FFP of an INR of 2.0 or PT of 30%, and APTT of twice the standard value or below 25%. They desired additional criteria in relation to the platelet parameters, with over half of them seeking more detailed criteria in relation to the disease and pathophysiology. They also desired fresh criteria in relation to albumin and immunoglobulin levels. We need prospective randomized trials to develop criteria for granulocyte transfusions and donor lymphocyte infusion. Other options, e.g., administration of erythropoietin, G-CSF, rFVIIa and tranexamic acid, are expected to replace blood transfusion and decrease the frequency of blood transfusion. We would like to organize our pediatric community to conduct welldesigned clinical studies for the purpose of developing evidence-based guidelines for transfusion.
Journal
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- The Japanese Journal of Pediatric Hematology
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The Japanese Journal of Pediatric Hematology 22 (2), 104-118, 2008
THE JAPANESE SOCIETY OF PEDIATRIC HEMATOLOGY/ONCOLOGY
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Details 詳細情報について
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- CRID
- 1390282679318811904
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- NII Article ID
- 130004345977
- 10025700480
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- NII Book ID
- AN10080852
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- ISSN
- 18844723
- 09138706
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed