학술논문
수혈로 유발된 급성 폐 손상 2예
Two Cases of Transfusion Related Acute Lung Injury
Two Cases of Transfusion Related Acute Lung Injury
Document Type
Article
Author
이경주 / Kyoung Ju Lee; 김혜옥 / Hye Ok Kim; 김정하 / Jung Ha Kim; 하은실 / Eun Sil Ha; 정진용 / Jin Yong Jung; 이승현 / Seung Hyeun Lee; 김세중 / Se Joong Kim; 주문경 / Moon Kyung Ju; 이은주 / Eun Joo Lee; 강은해 / Eun Hae Kang; 정기환 / Ki Hwan Jung; 이승룡 / Sung Yong Lee; 이상엽 / Sang Yeub Lee; 김제형 / Je Hyeong Kim; 신철 / Chol Shin; 심재정 / Jae Jeong Shim; 인광호 / Kwang Ho In; 강경호 / Kyung Ho Kang; 유세화 / Se Hwa Yoo
Source
Tuberculosis and Respiratory Diseases. Nov 30, 2006 61(5):473
Subject
Language
Korean
ISSN
1738-3536
Abstract
저자들은 폐암 및 항암치료에 의한 만성 질환으로 유발된 중등도의 빈혈이 있어 농축적혈구의 수혈치료 후 발생한 호흡곤란 및 발열 호소하여 다른 원인 감별 후 수혈에 의해 유발된 급성 폐 손상 진단하에 대증치료후 환자의 증상은 호전되었다. 이러한 수혈에 의해 유발된 급성 폐 손상은 그간 국내에서 보고 된 적이 없었던 증례로 이를 문헌 고찰과 함께 보고하는 바이다.
Transfusion related acute lung injury (TRALI) is a serious, potentially life-threatening complication of transfusion therapy that is sometimes under diagnosed and under reported. Patients with TRALI present with dyspnea/respiratory distress and fever. The symptoms, signs and chest radiological findings in TRALI are similar to transfusion associated circulatory overload, which makes it is difficult to distinguish it from circulatory overload. Although the mortality rate in cases of TRALI is relatively low, TRALI is the third most common cause of fatal transfusion reactions next to ABO blood type incompatibility and hepatitis. Mild-to-moderate cases of TRALI may be misdiagnosed as volume overload. Recently, we encountered two cases where the patients suffered from dyspnea and fever after a transfusion. and review of the relevant literature. (Tuberc Respir Dis 2006; 61: 473-478)
Transfusion related acute lung injury (TRALI) is a serious, potentially life-threatening complication of transfusion therapy that is sometimes under diagnosed and under reported. Patients with TRALI present with dyspnea/respiratory distress and fever. The symptoms, signs and chest radiological findings in TRALI are similar to transfusion associated circulatory overload, which makes it is difficult to distinguish it from circulatory overload. Although the mortality rate in cases of TRALI is relatively low, TRALI is the third most common cause of fatal transfusion reactions next to ABO blood type incompatibility and hepatitis. Mild-to-moderate cases of TRALI may be misdiagnosed as volume overload. Recently, we encountered two cases where the patients suffered from dyspnea and fever after a transfusion. and review of the relevant literature. (Tuberc Respir Dis 2006; 61: 473-478)