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Transfusion medicine for the practitioner

机译:医学员的输血药物

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History of Transfusion Medicine: In the early 1600's, Richard Lower first described blood being taken from the femoral artery of a dog, and infusing it into the jugular vein of a second dog. Further experimentation with blood taken from and instilled into different species was found to be associated with several abnormal physiologic reactions, leading to the proposition that "like transfuses like". In fact, transfusion of cow and sheep blood into demented human patients caused documentation of thefirst known transfusion reaction, characterized by injection site discomfort, tachycardia, diaphoresis, nausea, renal pain, and black discoloration of the urine. Further research in 1910 allowed the discovery of four agglutinins and hemolysins on caninered blood cells (RBC's). By 1949, a total of six blood groups had been identified in dogs. Advances and progress in veterinary medicine have led to a more routine need for and use of canine and feline blood products as therapy for a variety of diseases.Most recently, development of a hemoglobin-based oxygen carrier (HBOC) has broadened the armamentarium of transfusion products available to the general practitioner.
机译:输血医学史:在1600年代初,理查德较低的首先描述了血液从狗的股票动脉中捕获,并将其注入第二只狗的颈静脉。发现从血液中取出并灌输到不同物种中的进一步实验与几种异常的生理反应相关,导致“像输血一样”的命题。事实上,将牛和绵羊血液输送到乳剂的人类患者的患者引起了过流动的输血反应的文件,其特征在于注射部位不适,心动过速,发汗,恶心,肾脏疼痛和尿液的黑色变色。 1910年的进一步研究允许发现四个凝集素和溶血素在罐装血细胞(RBC)上。到1949年,狗中共有六种血型。兽医医学的进展和进展导致犬和猫培育产品的常规需求和使用作为各种疾病的疗法。最近,血红蛋白的氧载体(HBOC)的发展扩大了输血的武器产品可供全科医生提供。

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