{"id":2477,"date":"2020-04-05T00:35:08","date_gmt":"2020-04-04T16:35:08","guid":{"rendered":"https:\/\/www.cosmomed.com.tw\/?p=2477"},"modified":"2023-12-14T11:41:21","modified_gmt":"2023-12-14T03:41:21","slug":"recycling-blood-better","status":"publish","type":"post","link":"https:\/\/www.cosmomed.com.tw\/en\/recycling-blood-better\/","title":{"rendered":"JHU:Recycled Blood Better than Banked Blood"},"content":{"rendered":"<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"721\" height=\"474\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood.jpg\" alt=\"\" class=\"wp-image-2755\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood.jpg 721w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood-400x263.jpg 400w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood-300x197.jpg 300w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood-18x12.jpg 18w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2020\/04\/bankblood-vs-cellsaverblood-600x394.jpg 600w\" sizes=\"(max-width: 721px) 100vw, 721px\" \/><figcaption class=\"wp-element-caption\">\u7814\u7a76\u986f\u793a\u8853\u4e2d\u56de\u6536\u8840\u7684\u7d05\u8840\u7403\u53ef\u80fd\u66f4\u70ba\u5065\u5eb7<\/figcaption><\/figure>\n<\/div>\n\n\n<p>\u7d04\u7ff0\u970d\u666e\u91d1\u65af\u5927\u5b78(Johns Hopkins University)\u7814\u7a76\u767c\u73fe\u7d05\u8840\u7403\u7d93\u5132\u5b58\u4e00\u6bb5\u6642\u9593\u5f8c\uff0c\u5176\u7d30\u80de\u819c\u6703\u786c\u5316\u5931\u53bb\u539f\u672c\u7684\u5f48\u6027\u800c\u7121\u6cd5\u64e0\u58d3\u901a\u904e\u9ad4\u5167\u8f03\u5c0f\u7684\u5fae\u8840\u7ba1\u5411\u7d44\u7e54\u8f38\u9001\u6c27\u6c23\u3002\u53cd\u4e4b\uff0c\u8853\u4e2d\u56de\u6536\u7684\u60a3\u8005\u5931\u8840\u537b\u80fd\u4fdd\u6301\u826f\u597d\u7684\u8840\u7403\u8b8a\u5f62\u5ea6(Erythrocyte Deformability)\uff0c\u65bc\u624b\u8853\u671f\u9593\u56de\u8f38\u80fd\u8b93\u60a3\u8005\u7372\u5f97\u66f4\u5065\u5eb7\u3001\u651c\u6c27\u80fd\u529b\u66f4\u597d\u7684\u7d05\u8840\u7403\u3002<\/p>\n\n\n\n<p>\u5728\u9019\u9805\u7814\u7a76\u4e2d\uff0c\u7d04\u7ff0\u970d\u666e\u91d1\u65af\u5927\u5b78\u7684\u7814\u7a76\u4eba\u54e1\u6309\u8f38\u8840\u60c5\u5f62\u5c0d32\u4f8b\u5fc3\u81df\u5916\u79d1\u624b\u8853\u60a3\u8005\u9032\u884c\u4e86\u5206\u985e\uff1a\u50c5\u63a5\u53d7\u81ea\u9ad4\u56de\u6536\u8840\u7684\u60a3\u8005(12\u4f8b\uff0c\u4e0b\u5716\u7da0\u7dda)\uff0c\u63a5\u53d7\u81ea\u9ad4\u56de\u6536\u8840\u548c\u5c11\u65bc\u4e94\u55ae\u4f4d\u5eab\u5b58\u8840\u7684\u60a3\u8005(10\u4f8b\uff0c\u4e0b\u5716\u7d05\u7dda)\u4ee5\u53ca\u90a3\u4e9b\u63a5\u53d7\u81ea\u9ad4\u56de\u6536\u8840\u4ee5\u53ca\u4e94\u55ae\u4f4d\u4ee5\u4e0a\u5eab\u5b58\u8840\u7684\u60a3\u8005(10\u4f8b\uff0c\u4e0b\u5716\u85cd\u7dda)\uff0c\u5eab\u5b58\u8840\u5e73\u5747\u8caf\u5b58\u5929\u6578\u70ba25\u5929\u3002\u6240\u6709\u4eba\u5728\u624b\u8853\u524d\uff0c\u624b\u8853\u4e2d\u548c\u624b\u8853\u5f8c\u4e09\u5929\u63a1\u96c6\u8840\u6db2\u6a23\u672c\u6aa2\u67e5\u7d05\u8840\u7403\u7d30\u80de\u819c\u786c\u5ea6\u548c\u5f48\u6027\u3002<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" width=\"800\" height=\"607\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-800x607.jpeg\" alt=\"\" class=\"wp-image-6266\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-800x607.jpeg 800w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-300x228.jpeg 300w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-400x303.jpeg 400w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-768x582.jpeg 768w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-16x12.jpeg 16w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7-600x455.jpeg 600w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2023\/12\/Original.00000539-201406000-00007.F1-7.jpeg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">\u4f86\u6e90\uff1a<a href=\"javascript:void(0);\">Impaired Red Blood Cell Deformability after Transfusion of Stored Allogeneic Blood but Not Autologous Salvaged Blood in Cardiac Surgery Patients<\/a><br>\u50c5\u4f7f\u7528\u81ea\u9ad4\u56de\u6536\u8840\u7684\u60a3\u8005(\u7da0\u7dda)\u5176\u8840\u7403\u8b8a\u5f62\u5ea6\u5728\u8853\u524d\u3001\u8853\u5f8c\u7121\u986f\u8457\u5dee\u7570\uff1b\u4f7f\u7528\u81ea\u9ad4\u56de\u6536\u8840+\u5c0f\u65bc5\u55ae\u4f4d\u5eab\u5b58\u8840\u7684\u60a3\u8005(\u7d05\u7dda)\u5247\u5230\u8853\u5f8c\u4e09\u5929\u624d\u56de\u5fa9\u81f3\u57fa\u6e96\u72c0\u614b\uff1b\u4f7f\u7528\u81ea\u9ad4\u56de\u6536\u8840+\u5927\u65bc5\u55ae\u4f4d\u5eab\u5b58\u8840\u7684\u60a3\u8005(\u85cd\u7dda)\u5247\u5230\u8853\u5f8c\u4e09\u5929\u4ecd\u5c1a\u672a\u56de\u5fa9\u81f3\u57fa\u6e96\u72c0\u614b\u3002<\/figcaption><\/figure>\n<\/div>\n\n\n<p>\u7d50\u679c\u986f\u793a\u50c5\u63a5\u53d7\u81ea\u9ad4\u56de\u6536\u8840\u7684\u60a3\u8005\u5176\u7d05\u8840\u7403\u80fd\u7acb\u5373\u6b63\u5e38\u904b\u4f5c\uff0c\u5c31\u50cf\u662f\u5f9e\u672a\u96e2\u958b\u9ad4\u5167\u4e00\u6a23\u3002\u96a8\u60a3\u8005\u8f38\u6ce8\u7684\u5eab\u5b58\u8840\u8d8a\u591a\uff0c\u9ad4\u5167\u7d05\u8840\u7403\u6574\u9ad4\u5f48\u6027\u8d8a\u5dee\uff0c\u751a\u81f3\u5230\u624b\u8853\u4e09\u5929\u5f8c\uff0c\u8f38\u6ce8\u5eab\u5b58\u8840\u6700\u591a\u7d44\u5225\u7684\u60a3\u8005\u5176\u9ad4\u5167\u7d05\u8840\u7403\u4ecd\u672a\u80fd\u5b8c\u5168\u6062\u5fa9\u5176\u529f\u80fd\u3002\u63db\u53e5\u8a71\u8aaa\uff0c\u96a8\u8457\u5eab\u5b58\u8840\u5b58\u5728\u300e\u5291\u91cf\u53cd\u61c9\u300f\uff0c\u96a8\u8f38\u6ce8\u91cf\u589e\u52a0\uff0c\u9ad4\u5167\u7d05\u8840\u7403\u54c1\u8cea\u9700\u8981\u82b1\u8d8a\u591a\u6642\u9593\u6062\u5fa9\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>\u4e8b\u5be6\u8b49\u660e\u8840\u6db2\u66f4\u50cf\u662f\u725b\u5976\uff0c\u4fdd\u5b58\u671f\u9650\u76f8\u5c0d\u8f03\u77ed\uff0c\u800c\u975e\u50cf\u662f\u7d05\u9152\u8d8a\u9673\u8d8a\u9999<br>It turns out that blood is more like milk, which has a relatively short shelf life, than a fine wine, which gets better with age.<br><\/p>\n<cite>Steven Frank, M.D. Johns Hopkins Medicine<\/cite><\/blockquote>\n\n\n\n<p>\u70ba\u4e86\u56de\u6536\u4f7f\u7528\u60a3\u8005\u7684\u81ea\u9ad4\u8840\uff0c\u624b\u8853\u4e2d\u6703\u4f7f\u7528\u4e00\u7a2e\u7a31\u70ba\u300c<strong><a href=\"https:\/\/www.cosmomed.com.tw\/product\/haemonetics\/cell-server-elite\/\"><span><\/span><\/a><\/strong>\u300d\u7684\u6a5f\u5668\u4f86\u6536\u96c6\u60a3\u8005\u5728\u624b\u8853\u4e2d\u7684\u5931\u8840\uff0c\u6c96\u6d17\u6389\u4e0d\u9700\u8981\u7684\u8102\u80aa\u3001\u7d30\u80de\u788e\u7247\u3001\u6297\u51dd\u8840\u5291\uff0c\u7136\u5f8c\u96e2\u5fc3\u5206\u96e2\u51fa\u7d05\u8840\u7403\u4e26\u56de\u8f38\u7d66\u60a3\u8005\u3002\u9019\u9805\u6280\u8853\u4e3b\u8981\u63a8\u5ee3\u65bc1980\u5e74\u4ee3HIV \/ AIDS\u6d41\u884c\u6642\u671f\uff0c\u85c9\u7531\u6e1b\u5c11\u8f38\u6ce8\u7570\u9ad4\u8840\u964d\u4f4e\u60a3\u8005\u611f\u67d3\u75c5\u6bd2\u7684\u98a8\u96aa\uff0c\u9019\u540c\u6642\u4e5f\u964d\u4f4e\u611f\u67d3B\u578b\u6216C\u578b\u809d\u708e\u611f\u67d3\u6216\u5f15\u767c\u4e0d\u826f\u8f38\u8840\u53cd\u61c9\u7684\u98a8\u96aa\uff0c\u4eca\u65e5\u8840\u6db2\u4f9b\u61c9\u5df2\u66f4\u52a0\u5b89\u5168\u4f46\u4ecd\u7121\u6cd5\u767e\u5206\u767e\u514d\u9664\u6b64\u98a8\u96aa\u3002\u81ea\u9ad4\u8840\u6db2\u56de\u6536\u76ee\u7684\u4e5f\u64f4\u5c55\u81f3\u5faa\u74b0\u5229\u7528\u4e0a\uff0c\u96a8\u8457\u8a31\u591a\u7814\u7a76\u8b49\u5be6\u65b0\u9bae\u3001\u81ea\u9ad4\u7684\u8840\u6db2\u5c0d\u60a3\u8005\u66f4\u597d\u3002<\/p>\n\n\n\n<p>\u8a72\u7814\u7a76\u4e3b\u6301\u4ebaSteven Frank\u6559\u6388\u8aaa\uff1a\u300e\u6211\u5011\u4f7f\u7528Cell Saver\uff0c\u4f46\u5728\u6211\u770b\u4f86\u7528\u7684\u4ecd\u4e0d\u8db3\u5920\u3002\u4ecd\u6709\u8a31\u591a\u6578\u4eba\u5be7\u53ef\u9078\u64c7\u4f7f\u7528\u5eab\u5b58\u8840\uff0c\u56e0\u70ba\u8f03\u4e0d\u8cbb\u529b\u7684\u4f5c\u6cd5\u4e5f\u66f4\u5bb9\u6613\u53d6\u5f97\u3002\u300f<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/www.cosmomed.com.tw\/product\/haemonetics\/cell-server-elite\/\"><img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-800x800.jpg\" alt=\"\" class=\"wp-image-516\" srcset=\"https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-800x800.jpg 800w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-400x400.jpg 400w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-300x300.jpg 300w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-12x12.jpg 12w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-50x50.jpg 50w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-460x460.jpg 460w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-768x768.jpg 768w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-230x230.jpg 230w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-600x600.jpg 600w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9-160x160.jpg 160w, https:\/\/www.cosmomed.com.tw\/wp-content\/uploads\/2018\/02\/elite-9.jpg 820w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/a><figcaption class=\"wp-element-caption\"><a href=\"https:\/\/www.cosmomed.com.tw\/product\/haemonetics\/cell-server-elite\/\" target=\"_blank\" rel=\"noreferrer noopener\">Haemonetics Cell Saver\u00ae Elite \u2014 \u8853\u4e2d\u81ea\u9ad4\u8840\u6db2\u56de\u6536\u7cfb\u7d71<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>References<\/strong><br>1.<a href=\"https:\/\/journals.lww.com\/anesthesia-analgesia\/subjects\/Blood\/Fulltext\/2014\/06000\/Impaired_Red_Blood_Cell_Deformability_after.7.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Salaria, Osman &amp; Barodka, Viachaslau &amp; Hogue, Charles &amp; Berkowitz, Dan &amp; Ness, Paul &amp; Wasey, Jack &amp; Frank, Steven. (2014). Impaired Red Blood Cell Deformability After Transfusion of Stored Allogeneic Blood But Not Autologous Salvaged Blood in Cardiac Surgery Patients. Anesthesia and analgesia. 118. 10.1213\/ANE.0000000000000227.<\/a><br>2.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3744176\/\" target=\"_blank\">Frank SM, Abazyan B, Ono M, et al. Decreased erythrocyte deformability after transfusion and the effects of erythrocyte storage duration.&nbsp;<em>Anesth Analg<\/em>. 2013;116(5):975\u2013981. doi:10.1213\/ANE.0b013e31828843e6<\/a><br>2.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4770563\/\" target=\"_blank\">Scott AV, Nagababu E, Johnson DJ, et al. 2,3-Diphosphoglycerate Concentrations in Autologous Salvaged Versus Stored Red Blood Cells and in Surgical Patients After Transfusion.&nbsp;<em>Anesth Analg<\/em>. 2016;122(3):616\u2013623. doi:10.1213\/ANE.0000000000001071<\/a><br>3.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.hopkinsmedicine.org\/news\/media\/releases\/recycling_a_patients_lost_blood_during_surgery_better_than_using_banked_blood\" target=\"_blank\">Recycling a Patient&#8217;s Lost Blood During Surgery Better Than Using Banked Blood<\/a><br>4.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.voanews.com\/a\/recycled-blood-better-than-banked-blood\/1913186.html\" target=\"_blank\">Recycled Blood Better than Banked Blood<\/a><br>5.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.hopkinsmedicine.org\/news\/media\/releases\/recycling_a_patients_lost_blood_during_surgery_better_than_using_banked_blood\" target=\"_blank\">Recycled blood is better than donated blood for transfusions, Hopkins study finds<\/a><br>6.<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4988483\/\" target=\"_blank\">Zhou J. A review of the application of autologous blood transfusion. <em>Braz J Med Biol Res<\/em>. 2016;49(9):e5493. 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