Successful bowel surgery at hemoglobin 2 g/dL without blood transfusion

作     者：Ramakrishnapillai Padmakumar Madhukara Pai Shams Farish Jayadevan Rajeev Thampi Sanjeev Thekke Veetil Sreevalsan Binu Sheetal Yesudas Santhakumari Sooraj Shamna Safar Rowther 

作者机构：Department of General Surgery Sunrise Hospital Department of Gastroenterology Sunrise Hospital Department of Anesthesiology Sunrise Hospital Department of Critical Care Medicine Sunrise Hospital Department of General Medicine Sunrise Hospital Department of Nephrology Sunrise Hospital Department of Bio-statistics Sunrise Hospital 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2013年第5卷第8期

页      面：252-255页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gastrointestinal bleed Low hemoglobin level Jehovah’ s witnesses Multiple terminal ileal ulceration Enterotomy Right hemicolectomy. 

摘      要：We were unable to find reports in the published medical literature of any cases of bowel surgery being successfully performed at such a low hemoglobin level,without blood transfusion or blood products pre or post-surgery,with the patient’s uncomplicated *** study is about such a case.A patient presenting with severegastrointestinal bleeding was diagnosed with enteric fever and multiple ileal *** had an extremely low hemoglobin level(2 g/dL) and mild renal and hepatic *** was immediately admitted for right hemicolectomy under general anesthesia though he refused transfusion of blood or blood products prior to,during,or after surgery on religious grounds(Jehovah’ s Witnesses).After the surgery and having survived these potentially life-threatening circumstances,he left the hospital without major *** such circumstances,lives may be saved by prompt clinical decision-making,collaboration and swift surgical intervention coupled with the immediate consultation and input of the patient and family.