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Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome

Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at 34 weeks of gestation presented with upper abdominal pain without dyspnea. Beca...

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Autores principales: Moon, Kyoung Min, Han, Min Soo, Rim, Ch'ang Bum, Kim, So Ri, Shin, Sang Ho, Kang, Min Seok, Lee, Jun Ho, Kim, Jihye, Kim, Sang Il
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Family Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754291/
https://www.ncbi.nlm.nih.gov/pubmed/26885326
http://dx.doi.org/10.4082/kjfm.2016.37.1.71
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author Moon, Kyoung Min
Han, Min Soo
Rim, Ch'ang Bum
Kim, So Ri
Shin, Sang Ho
Kang, Min Seok
Lee, Jun Ho
Kim, Jihye
Kim, Sang Il
author_facet Moon, Kyoung Min
Han, Min Soo
Rim, Ch'ang Bum
Kim, So Ri
Shin, Sang Ho
Kang, Min Seok
Lee, Jun Ho
Kim, Jihye
Kim, Sang Il
author_sort Moon, Kyoung Min
collection PubMed
description Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at 34 weeks of gestation presented with upper abdominal pain without dyspnea. Because she showed the syndrome of HELLP (hemolysis, elevated liver enzymes, and low platelet count), an emergency cesarean section delivery was performed, and blood was transfused. In the case of such patients, clinicians should closely observe the patient's condition at least during the 6 hours while the patient receives blood transfusion, and should suspect TRALI if the patient complains of respiratory symptoms such as dyspnea. Furthermore, echocardiography should be performed to distinguish between the different types of transfusion-related adverse reactions.
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spelling pubmed-47542912016-02-16 Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome Moon, Kyoung Min Han, Min Soo Rim, Ch'ang Bum Kim, So Ri Shin, Sang Ho Kang, Min Seok Lee, Jun Ho Kim, Jihye Kim, Sang Il Korean J Fam Med Case Report Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at 34 weeks of gestation presented with upper abdominal pain without dyspnea. Because she showed the syndrome of HELLP (hemolysis, elevated liver enzymes, and low platelet count), an emergency cesarean section delivery was performed, and blood was transfused. In the case of such patients, clinicians should closely observe the patient's condition at least during the 6 hours while the patient receives blood transfusion, and should suspect TRALI if the patient complains of respiratory symptoms such as dyspnea. Furthermore, echocardiography should be performed to distinguish between the different types of transfusion-related adverse reactions. The Korean Academy of Family Medicine 2016-01 2016-01-27 /pmc/articles/PMC4754291/ /pubmed/26885326 http://dx.doi.org/10.4082/kjfm.2016.37.1.71 Text en Copyright © 2016 The Korean Academy of Family Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Moon, Kyoung Min
Han, Min Soo
Rim, Ch'ang Bum
Kim, So Ri
Shin, Sang Ho
Kang, Min Seok
Lee, Jun Ho
Kim, Jihye
Kim, Sang Il
Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title_full Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title_fullStr Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title_full_unstemmed Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title_short Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
title_sort transfusion related acute lung injury after cesarean section in a patient with hellp syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4754291/
https://www.ncbi.nlm.nih.gov/pubmed/26885326
http://dx.doi.org/10.4082/kjfm.2016.37.1.71
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