Acute Lung Injury Associated with Blood Transfusion in a Hysterectomy Patient: A Case Report

被引：0
|
作者：
Bielinskyi, Mykyta [1 ,2 ]
Halandzhii, Marian-Andrii [1 ]
Dashchenko, Yurii [1 ]
Chaplynska, Nataliia [1 ,3 ]
机构：
[1] COMFORT HLTH LLC, Ivano Frankivsk, Ukraine
[2] Ivano Frankivsnk Natl Med Univ, Dept Internal Med & Nursing 2, Ivano Frankivsk, Ukraine
[3] Ivano Frankivsk Natl Med Univ, Dept Therapy & Family Med Postdiploma Educ, Ivano Frankivsk, Ukraine
来源：
GALICIAN MEDICAL JOURNAL | 2024年 / 31卷 / 02期
关键词：
TRALI; Erythrocyte Mass Transfusion; Dyspnea; Total Hysterectomy;
D O I：
10.21802/e-GMJ2024
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This case report presents a case of transfusion-related acute lung injury (TRALI) in a 50-year-old female patient who underwent total hysterectomy due to multiple fibromyomas. The patient developed dyspnea, heart palpitations, and fatigue postoperatively, with SpO(2) dropping to 61%. Despite initially suspecting pulmonary embolism, the normal D-dimer level and characteristic changes observed on X-ray facilitated the diagnosis of TRALI. The patient was successfully treated with oxygen supplementation, intravenous corticosteroids, and thromboembolism prophylaxis, resulting in complete recovery. This case underscores the importance of considering TRALI in the differential diagnosis when patients exhibit respiratory distress following transfusion.
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页数：4
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