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蜱传播原生动物门巴贝虫感染已越来越常见。巴贝虫病通常用抗生素治疗有效,但在有些病例也可使用单采术治疗。作者报导2例巴贝虫病伴溶血患者的单采术和抗生素治疗。1例具有传统的红细胞置换指征,第2例患者治疗采用了红细胞置换,因溶血采用了血浆置换术,溶血可能继发于巴贝虫寄生物血症。例1,44岁,男性,患慢性复发性胰腺炎,因手术中输入1单位含巴贝虫的红细胞而染上巴贝虫病。手术5周后出现了发热和严重溶血现象,伴随血红蛋白水平为69g/L;发现30％的红细胞为巴贝虫感染。该例患者有严重的手术后并发症;使用了克
Tick-borne protozoan Babesia infections have become increasingly common. Babesiosis is usually treated with antibiotics, but in some cases apheresis can also be used. The authors reported 2 cases of Babesiosis with hemolysis in patients with apheresis and antibiotic treatment. One case had the traditional indications of erythrocyte replacement, the second case treated with erythrocyte replacement, the hemolysis using plasmapheresis, and hemolysis possibly secondary to Babesia parasitemia. Example 1, 44 years old, male, suffering from chronic recurrent pancreatitis, who was infected with Babesiosis by inputting 1 unit of Babesia-containing erythrocytes during surgery. After 5 weeks of surgery, fever and severe hemolysis were observed with a hemoglobin level of 69 g / L; 30% of the erythrocytes were found to be Babesia infections. The patient had severe postoperative complications; grams were used