THE STATE OF ART, PROBLEMS AND FUTURE OF TRANSFUSIOLOGY

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Abstract

The article specifies the main areas of modern transfusiology: blood services, transfusion immunology, clinical and industrial transfusiology. Our research work and the analysis of published data made it possible to specify a new paradigm of transfusion medicine — the transition from the doctrine of blood components transfusion to molecular transfusiology, which comprises medicamentary transfusiology based on the use of gene engineering and biotechnology components as well as blood components preparations, high-tech methods of extracorporeal molecular hemocorrection and highly specific laboratory technology. In view of this concept we develop and introduce modern methods of transfusion medicine and laboratory technologies, aimed at providing the safety of transfusion manipulations and optimizing their use in clinical practice. Transfusion immunology is a part of Transfusion Medicine, studying and implementing in practice the immunological safety and efficacy of transfusions. The article also specifies the main criteria for blood donation and blood components transfusion in patients with hereditary abnormalities of blood; a new approach to evaluation of blood donors potential in endemic foci of inherited abnormalities of blood. The results of the research work formed the basis for protocols of donors examination and the treatment of patients needing hemo transfusion, optimized the tactics of decreed research during the examination of blood donors and patients needing blood transfusion.

 

About the authors

A. A. Ragimov

Russian Scientific Center of Surgery named after academician B.V. Petrovsky of Russian Academy of Medical Sciences, Moscow, Russian Federation

Author for correspondence.
Email: ra50@mail.ru
доктор медицинских наук, профессор, заведующий отделом трансфузиологии и лабораторных технологий Российского научного центра хирургии им. акад. Б.В. Петровского РАМН, заведующий Центром крови, заведующий кафедрой клинической трансфузиологии Первого Московского государственного медицинского университета им. И.М. Сеченова Адрес: 119991, Москва, Абрикосовский пер., д. 2 Тел.: (499) 246-02-21, факс: (499) 248-11-64 Россия

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