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Revista de Ciencias Médicas de Pinar del Río

ISSN 1561-3194 (Electronic)
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2014, Number 3

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Rev Ciencias Médicas 2014; 18 (3)

Acute lung damage associated with transfusion during pregnancy

Melians ASM
Full text How to cite this article

Language: Spanish
References: 13
Page: 543-551
PDF size: 136.16 Kb.


Key words:

Adult respiratory distress syndrome, Lung diseases, Blood tranfusion.

ABSTRACT

Introduction: acute lung damage associated with transfusion is a little frequent adverse effect to transfusion; mortality has been estimated between 1-10%. Its diagnosis is clinical and infrequently suspected about. its incidence is low even so.
Case report: but two cases presented, hospitalized in the maternal-perinatal care room, with diseases associated to pregnancy, and they were administered blood components, both five hours after the transfusion, presented a clinical syndrome with moderate hypoxemia, and needed ventilation; with this findings and the temporal relation with transfusion, we diagnosed moderate acute transfusion-associated respiratory difficulty syndrome.
Conclusions: The result was the best, with full resolution if the respiratory event. It is important to report both cases due to their onset in pregnant women, a less frequent cause informed about in the medical texts, and the importance of preserving the mother´s and the child´s health, and promote the notification of this adverse reaction to transfusion to the blood bank, in order to strengthen the hemosurveillance system.


REFERENCES

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  2. Añon JM, García de Lorenzo A, Quintana M, González E, Bruscas MJ. Lesión pulmonar aguda producida por transfusión. Med Intensiva [Internet]. 2010 [citado 3 Feb 2014]; 34(2): [aprox. 10 p.].

  3. Popovsky MA, Moore SB. Diagnostic and pathogenetic consideration sin transfusion-related acute lung injury. Transfusion. 1985; 25:573-7.

  4. Moore SB. Transfusion-related acute lung injury (TRALI). Clinical presentation, treatment and prognosis. Crit Care Med [Internet]. 2006 [citado 3 Feb 2014]; 34: [aprox. 4 p.].

  5. Comisario R, Estévez S, Silva Blanchet G,Zandomeni JL. Daño Pulmonar Agudo Relacionado A Transfusión Sanguínea. Revista de Posgrado de la VIa Cátedra de Medicina [Internet]. 2009 [citado 3 Feb 2014]; (14): [aprox. 2 p.].

  6. Velásquez-Penagos Jesús Arnulfo, Jara-Mori Teófilo. Injuria pulmonar aguda asociada a transfusión en el embarazo: Reporte de un caso y revisión de la literatura. Rev Colomb Obstet Ginecol [revista en la Internet]. 2008 Mar [citado 2014 Feb 3] ; 59(1): 68-73.

  7. Marik PE, Corwin HL. Acute lung injury following to transfusion: Expanding the definition. Crit Care Med [Internet]. 2008 [citado 3 Feb 2014]; 36: [aprox. 4 p.]. Disponible en: http://www.rtjournalonline.com/TRALI%20definition%20CCM%202008.pdf

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  13. Silva Ballester HM. Programa de hemovigilancia para los servicios de salud de la provincia de Matanzas [Tesis Doctoral en Ciencias Médicas]. Villa Clara, Cuba: Universidad de Ciencias Médicas de Villa Clara; 2012.




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Rev Ciencias Médicas. 2014;18