Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome / 가정의학회지
Korean Journal of Family Medicine
; : 71-74, 2016.
Article
in En
| WPRIM
| ID: wpr-179634
Responsible library:
WPRO
ABSTRACT
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.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pulmonary Edema
/
Blood Platelets
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Blood Transfusion
/
Echocardiography
/
Abdominal Pain
/
Cesarean Section
/
HELLP Syndrome
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Dyspnea
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Emergencies
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Acute Lung Injury
Limits:
Adolescent
/
Female
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Humans
/
Pregnancy
Language:
En
Journal:
Korean Journal of Family Medicine
Year:
2016
Document type:
Article