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수혈 후 산모에서 발생한 급성폐손상 -증례 보고-

A Case of Acute Lung Injury after Transfusion during Cesarean Section -A Case Report-

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초록

Transfusion-related acute lung injury (TRALI) is a serious complication following the transfusion of blood products. TRALI is under-diagnosed and under-reported because of a lack of awareness. TRALI occurs within 6 hours of transfusion in the majority of cases and its presentation is similar to other forms of acute lung injury. We report on the case of a 34-year-old pregnant woman who suffered from TRALI after transfusion during Cesarean section.

Abstract

Transfusion-related acute lung injury (TRALI) is a serious complication following the transfusion of blood products. TRALI is under-diagnosed and under-reported because of a lack of awareness. TRALI occurs within 6 hours of transfusion in the majority of cases and its presentation is similar to other forms of acute lung injury. We report on the case of a 34-year-old pregnant woman who suffered from TRALI after transfusion during Cesarean section.

참고문헌 (12)

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  3. 이경주, "수혈로 유발된 급성 폐 손상 2예", Tuberculosis and Respiratory Diseases, 61(5), pp.473~478 (2006), 대한결핵및호흡기학회
  4. 이지현, "Two Cases of Transfusion-related Acute Lung Injury Triggered by HLA and Anti-HLA Antibody Reaction", Journal of Korean Medical Science, 25(9), pp.1398~1403 (2010), 대한의학회
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  8. Toy P, "Transfusion-related acute lung injury: definition and review", Crit Care Med, 33, pp.721~726 (2005)
  9. Popovsky MA, "Further characterization of transfusion-related acute lung injury: demographics, clinical and laboratory features, and morbidity", Immunohematology, 16, pp.157~159 (2000)
  10. Barrett NA, "Transfusion-related acute lung injury: a literature review", Anaesthesia, 61, pp.777~785 (2006)
  11. Silliman CC, "Transfusion-related acute lung injury: epidemiology and a prospective analysis of etiologic factors", Blood, 101, pp.454~462 (2003)
  12. National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network, "Comparison of two fluid-management strategies in acute lung injury", N Engl J Med, 354, pp.2564~2575 (2006)

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