el servicio de medicina transfusional del h.p.g.d.r

7/21/2019 El Servicio de Medicina Transfusional Del H.P.G.D.R

http://slidepdf.com/reader/full/el-servicio-de-medicina-transfusional-del-hpgdr 1/60

Vku>

Dmo' B`ughgik Nhuhamddk J'

DHEKUHYKUM_YH ODMGMOK

IV_' @G A@IMOMGH YUHG_BP_MKGHD

U@_VKG_HED@ Y@OGMOK I@D _@URMRMK I@

A@IMOMGH YUHG_BP_MKGHD I@D C'V'J'I'U syy`uhvmhFckyahmd'`s



Vku> Bùghgik Nhuhamddk J' 5

—Eumgihu hy`gomÿg okg dh Yùhvmh Yuhgsbpsmkghd `g ehs` h dh `gyu`jh iòkavkg`gy`s shgjpág`ks spbmom`gy`s$ s`jpuks$ i` hdyh ohdmihi$ }kvkuypgks$ vhuh shymsbhoù dh iàhgih i` dh vkedhomÿg } vukrmgomh$ smgoksyk hdjpgk } i` bkuah `bmom`gy` h ykiks dks vhom`gy`s xp` dk u`xpmùhg$vhuh dk ophd okgyhaks okg yògkdkjáh i` vpgyh$ uòpusk cpahgk

ohvhomyhik } okavuka`ymik$ okg `d em`g`syhu i`d psphumk vu` } vksyyuhgsbpgimik$ hiàès s` `bòyþh iko`gomh } ohvhomyhomÿg i`d uòpuskcpahgk gò`shumk vhuh opavdmu sp amsmÿg‑'

AM_MKG



Vku> Bùghgik Nhuhamddk J' ?

—@d sùrmomk i` Aìmomgh Yuhgsbpsmkghd i`d Cksvmyhd J`gùhd Iko`gy` iÙmkehaeh$ sùè pgh kujhgm~homÿg akiùgh$ ehshih `g dh om`gomh } dhyògkdkjáh$ vhuh dkjuhu pgh yùhvmh yuhgsbpsmkghd vukb`smkghd$ hoo`smed`$kvkuypgh$ i` ohdmihi } ohdmi`~ okg `d psphumk ipuhgy` dhs 59 ckuhs i`diáh } `syh dheku dk chuè spsy`gyhik okg dks hrhgo`s i` dh AìmomghYuhgsbpsmkghd akiùgh‑'

RM_MKG




EHGOK I@ _HGJU@ I@VK_MYK I@ _HGJU@

_@URMOMK I@ A@IMOMGHYUHG_BP_MKGHD



Vhuh ahgy`gù k u`syhpuhu pg rkdpa`g hiòphik okg `d bmg i`

vu`r`gmu k okaehymu `d ockxp` cmvkrkdíamok'

Vhuh ahgy`gù } u`syhpuhu dh ohvhomihi i` yuhgsvkuy` i`

káj`gk'

Vhuh u`vkgù okavkg`gy`s `svòábmoks op}k iíbmomy vukipo`

hdyùhomkg`s odágmohs'





GKUAH_ VUKO@IMAM@GYK_

H_@U OPAVDMIK_ HGY@_]

IPUHGY@ PGHYUHG_BP_MßG



Vksmemdmihi i` yuhgsamsmÿg i` mgbòomkg`s$ Hiamgmsyuhomÿg i` shgju` mgokavhymed` Vksmemdmihi i` vukipomu skeuòhujh omuopdhykumh

@vksmomÿg h hgyáj`gks `yuhøks$ xp` rhg h ihu dpjhu h dhs`gsmemdm~homÿg i`d vhom`gy` } h okavuka`yù `d u`spdyhik i`yuhgsbpsmkg`s bpypuhs'

YKIH YUHG_BP_MßG I@E@ _@UMGIMOHIH OPHGIK DK_E@G@BMOMK_ _PV@UHG

ODHUHA@GY@ DK_ VK_MED@_UM@_JK_'

Vku> Bùghgik Nhuhamddk J' :




@sy` bkuapdhumk ièùè `syhuhinpgyk h dh cmsykumh odágmoh

okuu`svkgim`gy`'

8'! OKG_@GYMAM@GYK MGBKUAHIK I@D VHOM@GY@

Vhom`gy` Bhamdmhu`s k Ypyku Aìmok

http://localhost/var/www/apps/conversion/current/tmp/scratch25399/pARA%20PRESNETACION%20EN%20cIRUGIA%20Y%20mED.%20iNTERN/CONSENTIMIENTO%20INFORMADO.docx


http://localhost/var/www/apps/conversion/current/tmp/scratch25399/pARA%20PRESNETACION%20EN%20cIRUGIA%20Y%20mED.%20iNTERN



http://localhost/var/www/apps/conversion/current/tmp/scratch25399/CONSENTIMIENTO%20INFORMADO.docx

http://localhost/var/www/apps/conversion/current/tmp/scratch25399/pARA%20PRESNETACION%20EN%20cIRUGIA%20Y%20mED.%20iNTERN




Vku> B`ughgik Nhuhamddk J' =

5'!_KDMOMYPI I@ YUHG_BP_MKG

A COD

B

HØK A@_ IMH

@A@UJ@GOMH 0*

GKAEU@ I@D A@IMOK _KDMOMYHGY@ BMUAH ] _@DDK B@OCH I@ _KDMOMYPI _KDMOMYPI DD@GHIH VKU>

KYUK_

KYUK_

IHYK_ I@ DHEKUHYKUMK

C@AKJDKEMGHC@AHYKOUMYK

YM@AVK I@ VUKYUKAEMGH

YM@AVK I@ YUKAEKVDH_YMGH HOYMRH

U@HOOMKG@_ @AEHUH^K_

OHGYMIHI

OUMKVU@OMVMYHIK_

O' VDHXP@YH_

YUHG_BP_MKG@_

HGY@UMKU@_B@OCH

IMHJGK_YMOK+OUMY@UMK ODMGMOK

YMVK I@

C@AKOKAVKG@GY@_

OJU GKUAHD@_

OJU D@POKUU@IPOMIK_

VBO

VU

YMVK ] GPA@UK I@ C@AKOKAVKG@GY@_ _KDMOMYHIK_

JUPVK HDM_YHU I@_VHOCHU UPYMGH 90* PUJ@GY@ 80*

OHAH

B@OCH I@ GHOMAM@GYKKOPVHOMKG DPJHU I@ U@_MI@GOMH

@IHI _@SK_@URMOMK _HDH

HV@DDMIK AHY@UGK _@JPGIK GKAEU@

CK_VMYHD VUKRMGOMHD J@G@UHD IKO@GY@ I@ UMKEHAEH

_@URMOMK I@ A@IMOMGH YUHG_BP_MKGHD ! _KDMOMYPI I@ YUHG_B_PMKG

IHYK_ I@D U@O@VYKU #P_PHUMK-

HV@DDMIK VHY@UGK VUMA@U GKAEU@ O@IPDH




?'! AP@_YUH I@ _HGJU@




9'! YUHG_VKUY@ I@ C@AKOKAVKG@GY@_

Vdhsahs skg i`sokgj`dhiks #59 ckuhs- Dhs pgmihi`s s` `gyu`jhg pgh vku pgh OC' ?6 amgpyks smg okgs`urhomÿg' Ohnhs Yíuamohs #Y9-



OKG_@URHOMKG

]OHI@GH I@ BUMK



8?

_M_Y@AH I@ OKG_@URHOMßG ] YUHG_VKUY@ I@ DH_HGJU@+I@UMRHIK_

Vku> B`ughgik Nhuhamddk J'



80Vku> B`ughgik Nhuhamddk J'



_KDMOMYPI I@ _HGJU@]

I@UMRHIK_



83

k_kdmomypi k vìmik i` Yuhgsbpsmÿg ipvdmohik

kAp`syuh i` shgju`> ypek yhvh dmdh#okavhymemdmihi-

kOkgs`gymam`gyk mgbkuahik

kPgmihi`s Hdmsyhihs> vku 93 ckuhs#okgsmiùhu hdyùghymrhs yuhgsbpsmkghd`s-

U@XPM_MYK_


http://localhost/var/www/apps/conversion/current/tmp/scratch25399/pARA%20PRESNETACION%20EN%20cIRUGIA%20Y%20mED.%20iNTERN/REGISTRO%20DE%20TRANSFUSION.docx



8=Vku> B`ughgik Nhuhamddk J'

HIAMGM_YUHOMKG I@ C@AKOKAVKG@GY@_

U@HOOMKG@_ YUHG_BP_MKGHD@_

MI@GYMBMOHOMKG I@D VHOM@GY@GKAEU@_ ‟ OHAH ‟ COD

MGIMOHOMKG@_ YMVK ] GPA@UK I@

OKAVKG@GY@_






YM@AVK I@HIAMGM_YUHOMKG

_'A'Y> `gyu`jhuh pg

okavkg`gy` h dh r`~

‥ Okgsùrhomÿg ! ohi`gh i` bumk

‥ Ouòmam`gyk ehoyùmhgk'

‥ Pgh r`~ `gyu`jhiks gk spvùhu dks ?6 amgpyks h

yàvùhypuh haem`gy`'

‥ Hiamgmsyuhomÿg aèmak `g iks ckuhs,





58

BMDYUK_ VHUH DH HIAMGM_YUHOMKG I@_HGJU@

‥ OJU‥ OJUDU

‥ VBO‥ OUMK_

‥ U`y`gomÿg i` okèjpdks

‥ C`euhs i` bmeumgh

‥ O' VDHXP@YH_

VKUK_ 8:6 h 566 amouhs

‥ D@POKUU@IPOOMKG






OHD@GYHIKU@_ I@_HGJU@

‥

Juhgi`s ohgymihi`s i` OC buáks>huumyamhs }+6 vhuk ohuimhoks hskomhik hd`gbumham`gyk i` okgipoomÿg ohuimhoh'

‥ Xpmuÿbhgks vhuh pgh a`nku mgbpsmÿg hr`dkomihi`s i` 866 ad+amgpyk'

‥ Vhom`gy`s okg oumk hjdpymgmghs





Vku> Bùghgik Nhuhamddk J' 5?

U`hdm~hu pgh ykah i` okgsyhgy`s> yàvùhypuh$

buòp`gomh u`svmuhykumh $ vu`smÿg shgjpág`h$ vpdsk'

@s uòka`gihed` xp` `d vhom`gy` `sy` h bèumd'

Gk s` uòkam`gih vuàìmohu> vhuho`yhakd khgymcmsyhaágmoks ‟ `gahsohuhg u`hoomkg`s'

Hiamgmsyuhomÿg vukbmdèoymoh okg okuymokmi`s hvhom`gy`s okg cmsykumhd U ‟ H u`v`ymihs OJUDU#dhrhiks-

VU@VHUHOMKG VU@YUHG_BP_MKGHDI@D

VHOM@GY@






AKGMYKU@K IPUHGY@ ] I@_VP@_I@ DH YUHG_BP_MKG

Okgyukdhuh ap} i` oùoh `g dks vumaùks 80amgpyks ‟ UCM'

Hd `rmi`gomhu smjgks } ságykahs mgyùupavmu dhyuhgsbpsmÿg } `rhdphu dh u`hoomÿg'

Ykih u`hoomÿg iè` sù okapgmohih hd o`gyuk ksùrmomk Yuhgsbpsmkghd'

@grmhu pgh ap`syuh i` shgju` i`d vhom`gy` ,pgmihi } `d `xpmvk i` yuhgsbpsmÿg'

@rhdphu dh vksmed`s ohpshs i` dh u`hoomÿg'

http://localhost/var/www/apps/conversion/current/tmp/scratch25399/pARA%20PRESNETACION%20EN%20cIRUGIA%20Y%20mED.%20iNTERN/NOTIFICACION%20DE%20REACCIONES%20TRANSFUSIONALES.docx




50

I@_OUMVOMKG]

_@D@OOMKGI@ DK_OKAVKG@GY@__HGJPMG@K_




52

DK_ VUKIPOYK_

_HGJPÁG@K_ I@E@G

OKG_MI@UHU_@ OKAK

OPHDXPM@U KYUH

A@IMOHOMKG $ PYMDM^HU_@

OPHGIK _KDK _@H

G@O@_HUMK ‟

OKG DH AMGMAHIK_M_ @B@OYMRH



5:_HGJU@ YKYHD

_` ch iàksyuhik xp` `d àvd`k i`

_hgju` Ykyhd gk e`g`bmomh h dksvhom`gy`s$ }h xp` okg `ddh skdk sù`hdm~h pg speyuhyham`gyk } s` ih pgpsk mghiòphik ` mggò`shumk h pg em`gyhg vuòmhik


906 ad #_Y- , 2? ad #OVIH8- 1 08? ad

8 Ce k ?% Cyk

Dh shgju` ykyhd hoyphda`gy` sÿdk s` pymdm~h okakahyùmh vumah vhuh dh key`gomÿg i` dkscàkokavkg`gy`s'



53

OKGO@GYUHIK I@JDKEPDK_ UKNK_

GKUAHD@_

Rmj`gomh> ?0 iáhs' Okgs`urhomÿg i` 5 h 2 ¶o 506 ad h ?66 ad Okgym`g` D`pokomyks , vdhxp`yhs , u`syk

vdhsaèymok'

U`hoomÿg hdíujmoh

?ad+lj vku #Ce i`s`hih ‟ Ce hoyphd-




5=

Rmj`gomh i` 95 iáhs' Gk okgym`g` D`pokomyks$ vdhxp`yhs gm vdhsah' _` okaemgh OVI , _HJ AHGMYKD' @o`d`gy` okavkg`gy` vhuh dh hdy`ughymrh

Yuhgsbpsmkghd'

Rkdpa`g 536 h ?06 ad

OKGO@GYUHIK I@JDKEPDK_

D@POKUU@IPOMIK_




?6Vku> B`ughgik Nhuhamddk J'



Ho> _msy`ah HEK

Hj> _M_Y@AH_ I@ JUPVK_ _HGJPÁG@K_

k D`pokomyksk Vdhxp`yhs

JE , Vdhx #E'O-

Vku> B`ughgik Nhuhamddk J' ?8




Okuuòomÿg i` dh hgàmh smgykaèymoh k okg smjgks i` cmvkmh ymspdhu 1 : j+ iM i`

càkjdkemgh k 58 % $ s` uòkam`gih xp` ohih vhom`gy` s`h `rhdphik i` hopùikokg sp vhykdkjáh i` ehs` } sps okgimomkg`s odágmohs vhuymopdhu`s'

Okuuòomÿg i` dh hgàmh ouÿgmoh smgykaèymoh xp` gk ch u`svkgimikhiòphiha`gy` h sp yùhvmh `svòábmoh$ s` uòkam`gih ahgy`gù Ce 7 : j+id sm `dvhom`gy` `syè odágmoha`gy` `syhed`$ ÿ 7 86 j+ id sm `d vhom`gy` ym`g` hskomhih`gbùaìhi`s ohuimkrhsopdhu`s$ u`svmuhykumhs$ skg hgomhgks k ym`g`g hdjþg kyukvuko`sk xp` okgdd`r` h pg hpa`gyk i` dh iàhgih i` káj`gk-'

Okuuòomÿg i` dh hgàmh hjpih sòpgihumh h víuimih i` shgju` ah}ku hd 56% i`drkdpa`g shgjpág`k ykyhd$ dp`jk i` dh okuuòomÿg i` dh rkdàmh okg oumsyhdkmi`s kokdkmi`s } ̀ g dhs Hgàmhs Càkdáymohs okg ̀ rkdpomÿg hjpih'



Vku> Bùghgik Nhuhamddk J' ??

Dh yuhgsbpsmÿg h pg vhom`gy` hgíamok xp` rh h sù ska`ymik h pgh hg`sy`smhj`gùhd k h pgh mgyùr`gomÿg xpmuþujmoh ièùè ehshus` `g `d ymvk i` hgàmh$ dhr`dkomihi okg xp` ch `rkdpomkghik dh amsah } `g dh `rhdphomÿg i` sps `bòyksskeu` `d vukgÿsymok' @g `syks vhom`gy`s smàvu` xp` gk ch}h okgyuhmgimohomÿg }s`h vksmed` s` uòkam`gih vksyùjhu dh omupjáh'

@g hdjpghs okgimomkg`s okak càkjdkemgkvhyáhs #hgàmh i` oídpdhs bhdombkua`s} yhdhsàmh- vpì`g `syhu mgimohihs dhs yuhgsbpsmkg`s u`v`ymihs$ `g `svòmhd smch} oumsms i` sòp`syuk'



?9

‥ A`gku rkdpa`g'

‥

A`gku um`sjk i` skeuòhujh‥ Um`sjk i` skeuòhujh i` rkdpa`g }

i` cmùuk `g psk vukdkgjhik'

‥ Hpa`gyk i` rmsoksmihi

‥

Hdk s`gsmemdm~homÿg okgyuh hgyáj`gksCDH } @umyukomyhumks

OKGO@GYUHIK I@ JDKEPDK_UKNK_ GKUAHD@_

]

I@_D@POKOMYHIK_

‥ Jky`k d`gyk dks vumaùks 80

amgpyks$ dp`jk h 26 jkyhs vkuamgpyk k s`jþg oumyùmk aíimok }

okgimomÿg odágmoh i`d vhom`gy`'

‥ Jky`k uèvmik ̀ g càkuuhjmhs'

‥

Vhuh imdpmu pshu skdpomÿg shdmgh`syíumd'




?0

VDH_AH BU@_OKOKGJ@DHIK

Vdhsah Bu`sok Okgj`dhik s` dk keym`g` hd vuko`shupgh shgju` ykyhd `g a`gks i` kock ckuhs i`key`gmih } okgym`g` ykiks dks bhoyku`s i` dhokhjpdhomÿg> dèemd`s #RMMM$ SMMM$ BrZ$ bmeukgòymgh- }`syhed`s #MM$ RMM$ MS$ S-'

‥ Rmj`gomh 8 høk‥ Okgsùrhomÿg i` 4 56 ¶O'‥ I`sokgj`dh h ?:¶O'‥ Rkdpa`g i` 566 h 506 ad

‥ Rmj`gomh 59 ckuhs

86 ! 56 ad+lj ohih 3$ 85 k 59 ckuhs I`v`giì` `ymkdkjáh k mgy`gsmihi i`d shgjuhik





‥ Vhuh uòkgsymypmu _hgju` Ykyhd'‥ Okuuòomÿg i` i`bmom`gomhs okgkomihs i` bhoyku`s i` dh okhjpdhomÿg #MM$ R$ MS$ S$ SM-

ophgik gk s` op`gyh okg dh yùhvmh ̀ svòábmoh #dmkbmdm~hiks-'‥ Ahg`nk i` càkuuhjmhs i` dh amoukokhjpdhomÿg okg gmr`d`s i` vukyukaemgh #YV-

} ymàvk vhuomhd i` yukaekvdhsymgh #YYV- spvùmku`s h 8$0 rò`s `d okgyukd gkuahd'‥ Okuuòomÿg i` càkuuhjmhs i` dh amoukomuopdhomÿg hskomhihs h yuhgsbpsmÿg ahsmrh

#ah}ku h pg rkdpa`g shgjpág`k `g 85 ckuhs- } okg hdyùhomÿg i` dhs vupèhs iòkhjpdhomÿg'

‥ _myphomkg`s odágmohs okg iíbmomy i` Rmyhamgh L$ xp` gk vpì`g ̀ svùhu u`svp`syh hsp hiamgmsyuhomÿg k gk u`svkgi`g hiòphiha`gy`'

‥ Ahg`nk i` vþuvpuh yukaekomykvígmoh yukaeÿymoh ̀ g ̀ syks s` uòkam`gihmi`hda`gy` vdhsah ohu`gy` i` bhoyku`s oumkvuòmvmyhed`s'

MGIMOHOMKG@_>



Vku> Bùghgik Nhuhamddk J' ?:

‥ Okak u`vksmomÿg ̀ g ohsks i` shgjuáhs ̀ g vhom`gy`s vkdmjdkeþdmoks'‥ Okak ̀ vhgsku`s i` rkdpa`g'‥ Vhuh dh uòpvùhomÿg k ahgy`gmam`gyk i` dh Vu`smÿg Kgoÿymoh'‥ Okak hvkuy` gpyumomkghd$ i` Mj J k Hdeþamgh'‥ Okak vhuy` mgy`juhgy` i` u`vksmomÿg vuì`yùamghih #8 vdhsah vku ohih ?

vhxp`y`s jdkepdhu`s-'

P_K_ MGI@EMIK_ I@D VDH_AH



?3

VDH_AH U@BUMJ@UHIK

Rmj`gomh 0 høks Okgy`gmik i` hdepamgh' Okgs`urhomÿg i` 4 56 ¶O' I`sokgj`dh h ?:¶O'

86 ! 56 ad+lj ohih 3$ 85 k 59 ckuhs I`v`gi`i` `ymkdkjáh k mgy`gsmihi i`d shgjuhik




?=

OUMKVU@OMVMYHIK'

Rmj`gomh 8 høk Okgs`urhomÿg 4 56 ¶O' U`hoomkg`s hdíujmohs'

8 pgmihi +86lj ohih 85 k 59 ckuhs'I`v`gi` i` ̀ ymkdkjáh k mgy`gsmihi

i`d shgjuhik'





‥ Ahg`nk i` vhom`gy`s càkbádmoks ymvk H$ `g hps`gomh i` okgo`gyuhiks

dmkbmdm~hiks i` Bhoyku RMMM'

‥

Yuhyham`gyk i` smyphomkg`s càkuuèjmohs$ vukbmdèoymohs xpmuþujmohs }vukoìmam`gyks aíimoks #mgrhsmrks-'

‥ Vukbmdhms vùmkvùhykumh } vùmvhuyk } yuhyham`gyk i` càkuuhjmhs$ `g

vhom`gy`s vkuyhiku`s i` iíbmomy i` bmeumgÿj`gk } imsbmeumgkj`gàmhs<

`gbùaìhi`s i` rkg Zmddèuhgi'‥ Okuuòomÿg i` dh càkuuhjmh i` dh amoukomuopdhomÿg `g yuhgsbpsmÿg ahsmrh$

ophgik `d bmeumgÿj`gk `s mgb̀ umku h 866aj+ id k gk vpì` sù ophgymbmohik'

‥ Yùhvmh i` u`àvdh~k `g vhom`gy`s okg iíbmomy i` Bhoyku SMMM'

MGIMOHOMKG@_>

OKGO@GYUHIK



98

OKGO@GYUHIKVDHXP@YHUMK

Rmj`gomh ? iáhs k 0 iáhs Okgsùrhomÿg i` yàvùhypuh haem`gy` }`g ukyhomÿg'

U`hoomkg`s hdíujmohs' Rkdpa`g i` 06 h :6 ad

8 pgmihi+86lj


Dh yuhgsbpsmÿg i` pgh pgmihi i` OV vpì` hpa`gyhu`d okgy`k `g hvukmahiha`gy` 0666 !86 KKK+ad `gpg hipdyk vukaìmk'




Dhs mgimohomkg`s odágmohs i` dhs yuhgsbpsmkg`s i` vdhxp`yhs skg okgyukrùymihs' Dhiòmsmÿg i`v`gi` i` dh ohpsh i` dh càkuuhjmh$ `d `syhik odágmok i`d vhom`gy` }

`d gþaùk } bpgomÿg i` dhs vdhxp`yhs omuopdhgy`s'

Dh yuhgsbpsmÿg i` vdhxp`yhs `syè mgimohih vhuh okuu`jmu pgh i`bmom`gomh

ophgymyhymrh k ophdmyhymrh i` vdhxp`yhs ̀ g vu`s`gomh i` càkuuhjmh hoymrh kophgik ch}h pg juhr` um`sjk i` xp` s` vukip~oh ísyh$ okak okgsòp`gomh i` dhi`bmom`gomh i` vdhxp`yhs'

MGIMOHOMKG@_>




U@OKA@GIHOMßG>

k Vumaù okgyhn` h dks 86 amgpyks h pgh ckuh'k _`jpgik okgyhn` h dhs 59ckuhs

MUO hd ohek i` pgh ckuh 1

#uòp`gyk vdhxp`yhumk vksyuhgsbpsmÿg ! uòp`gyk vdhxp`yhumk vu`yuhgsbpsmÿg- _O #a5-

Gþaùk i` pgmihi`s #okgo`gyuhiks vdhxp`yhumks- yuhgsbpgimihs

Pg MUO spvùmku h 9'666 h 0'666+ pd spjmù` u`svp`syh hiòphih hdh yuhgsbpsmÿg




B@U@_M_

1

HB@U@_M_




B@U@_M_

1

HB@U@_M_

1



OJUDU ! V@IMHYUMOK_

OJUDU' :6 AD 95 iáhs i` rmj`gomh'




C@AKRMJMDHGOMH

Vku> B`ughgik Nhuhamddk J' 9:

http://localhost/var/www/apps/conversion/current/tmp/scratch25399/REGISTRO%20DE%20TRANSFUSION.docx




Dh Càkrmjmdhgomh `s pgsmsyàh i` rmjmdhgomh k hdùyh

kujhgm~hik

Uòkdòomÿg$ i` ihyks vukr`gm`gy`s i`d

akgmyku`k i` pg vhom`gy` yuhgsbpgimik$ k i`dh okgskdmihomÿg i` pgh dmsyh i` `bòykshirùsks #hoomi`gy`s }ùuku`s- sksvòcksks k okgbmuahiks hskomhiksh dh yuhgsbpsmÿg amsah i` shgju` } spsokavkg`gy`s'



_MJGK I@C@AKDM_M_•;

Vku> B`ughgik Nhuhamddk J' 9=

R@UMBMOHU HGY@_ I@ YUHG_BPGIMU

http://localhost/var/www/apps/conversion/current/tmp/scratch25399/REGISTRO%20DE%20TRANSFUSION.docx



06

R@UMBMOHU HGY@_ I@ YUHG_BPGIMU



HDY@UGHYMRH_YUHG_BP_MKGHD@_





Hgyáj`gks ̀ umyukomyhumks Hgymop`uvks síumoks

Jupvk H H hgym!e

Jupvk E hgym!h

Jupvk HE H } E gmgjpgk

Jupvk K gmgjpgk hgym!h } hgym!e

_M_Y@AH I@ JUPVK _HGJPÁG@K

HEK

_PE JUPVK_ I@D H ] I@D E> H8$ H5$ H?< E8$ E5$ E?< H8E5$ H?E8 ••••'




_M_Y@AH I@ JUPVK _HGJPÁG@K

UC

I$ O$ @

o$ `

BM_C@U ! UHO@ ZM@G@U

OKAVD@NK HGYMJ@GK_ J@G@_ HJDPYMGKJ@GK_ BHOYKU@_

Io` I$ o$ ` UK Uck Uck$ cu”$ cu””

IO` I$ O$ ` U8 Uc8 Uck$ uc”$ uc””

Io@ I$ o$ @ U5 Uc5 Uck$ cu”$ uc””

IO@ I$ O$ @ U^ Uc~ Uck$ uc”$ uc””

Io` o$ ` u uc cu”$ cu””

iO` O$ ` u” uc” uc”$ cu””

io@ o$ @ u”” uc”” cu”$ uc””

iO@ O$ @ U~ uc} uc”$ uc””



09

Ij> Hgàmh Càkdáymoh >hdkhgymopùvks MjA ! HEK


_hgju` Ykyhd




OJU GKUAHD > K

Ho> hgym! h } hgym!e

VHOM@GY@> JUPVK_ H8

BHOYKU Uc Io@



Vku> B`ughgik Nhuhamddk J' 0:

VHOM@GY@> JUPVK_ H8

BHOYKU Uc Io@OJU D@POKUU@IPOMIK > K

_MG HGYMOP@UVK_

JDKEPDK_¬K¼

el servicio de medicina transfusional del h.p.g.d.r

Documents