The haemoglobin level of MDS patients is one of the important indicators for determining whether a blood transfusion is required. However, there is no fixed threshold of haemoglobin when blood transfusion treatment begins, as the decision on blood transfusion should be based on the patient ‘ s overall condition, symptoms, mobility, conjunction and the patient ‘ s personal preference. The following is a detailed discussion of the blood transfusions of patients with musculosis syndrome:Considerations for blood transfusionsSymptoms of the patient: Symptoms of anaemia include inactivity, agitation, heart palpitation, dizziness etc. The severity of these symptoms can influence the blood transfusion decision.Activity level of patients: patients with high activity may need higher haemoglobin levels to maintain normal functioning, while patients with low activity levels may be able to maintain at lower haemoglobin levels.Combination: Patients suffering from heart disease, lung disease or other diseases that may affect the transport and use of oxygen may require earlier blood transfusion.Patients ‘ personal preferences: Patients ‘ attitudes and preferences towards blood transfusions are also important factors in determining blood transfusions.B.B. threshold.In general, the following haemoglobin levels are often used as general guidelines for blood transfusions:Hemoglobin 10.0 g/dL: Blood transfusion may not be required for patients with no serious symptoms or combinations unless the patient is operated or other activity requiring higher haemoglobin levels.Pros and cons of blood transfusion treatment.L: Blood transfusions can rapidly alleviate anaemia and improve the quality of life.F: Frequent blood transfusions can lead to iron overload and require additional treatment to manage. In addition, blood transfusions can increase the risk of viral infections and generate antibodies that affect future blood transfusions and stem cell transplants.Individualized treatmentSince the specific circumstances of MDS patients vary widely, blood transfusion treatment should be individualized. The following are some considerations of individualized treatment:Assessing symptoms: The doctor assesses the symptoms of the patient, e.g. inactivity, respiratory difficulties, etc., to determine whether a blood transfusion is required.Quality of life: Consider the effect of blood transfusion on improving the quality of life of patients.Risk assessment: Assessment of risks associated with blood transfusions, such as iron overload, blood transfusion-related viral infections, etc.Alternative treatment: For patients who are not fit for or have a poor reaction to blood transfusions, treatment is considered using drugs such as erythrocytogen (EPO).ConclusionsThe threshold of haemoglobin transfusion for patients with bone marrow amplification abnormalities is not fixed, but is determined on a case-by-case basis. Doctors develop blood transfusion programmes that take into account the patient ‘ s symptoms, mobility, complications and personal preferences. For MDS patients, it is recommended that close communication be made with blood doctors in order to adjust treatment programmes in a timely manner to ensure optimal treatment outcomes and quality of life.
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