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2020, Number 4

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Mediciego 2020; 26 (4)

Acute lung injury caused by transfusion. Case report

González-Álvarez A, Muarra-Álvarez HD, Moyano-Alfonso I

Language: Spanish
References: 25
Page: 1-12
PDF size: 405.11 Kb.


ABSTRACT

Introduction: acute lung injury caused by transfusion is one of the most dangerous adverse reactions from the use of blood products.
Objective: to present the case of a patient diagnosed with acute lung injury caused by transfusion, whose recovery was satisfactory.
Case presentation: female patient, 40 years old, white skin color, with obstetric history of two pregnancies, one childbirth and one abortion. She went to the emergency room for two-month amenorrhea, pain in the lower abdomen, sweating, decay, and pale skin and mucosa. An exploratory laparotomy confirmed an ectopic pregnancy. A left total salpingectomy was carried out and required a transfusion of blood products. The postoperative period passed without difficulty, but after four hours the patient presented tachycardia, polypnea, normal blood pressure, signs of pulmonary congestion, globally decreased vesicular murmur, crackles up to the lung apexes and crackles up to the lung apexes and speech broken. Rigorous tests were ordered and the diagnostic impression was acute lung edema due to possible volume overload. The intensive medical treatment reversed the symptoms and the patient recovered satisfactorily.
Conclusions: acute lung injury caused by transfusion is a serious complication and difficult to diagnose. Hence the importance of correctly identifying their suspicious symptoms and signs and indicating prompt and timely treatment to the patient. This work constitutes a scientific contribution, since it is an update, in Spanish, about the deadliest adverse effect of those produced by blood transfusion.


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