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输血后发生严重小肠结肠炎耶尔森菌败血症。

Severe Yersinia enterocolitica sepsis after blood transfusion.

作者信息

Hoelen D W M, Tjan D H T, Schouten M A, Dujardin B C G, van Zanten A R H

机构信息

Department of Intensive Care, Gelderse Vallei Hospital, Ede, the Netherlands.

出版信息

Neth J Med. 2007 Sep;65(8):301-3.

Abstract

A 23-year-old male received multiple blood transfusions following complicated thoracic surgery. He developed progressive haemorrhagic shock and multiple organ dysfunction syndrome. Blood cultures grew Yersinia enterocolitica. The patient was proven negative for Yersinia enterocolitica; however, one of the donors was found to be positive. Although strict selection of blood transfusion donors is warranted in the Netherlands, contamination of blood components may still occur and therefore should be considered whenever adverse events occur during or after blood transfusion.

摘要

一名23岁男性在复杂的胸外科手术后接受了多次输血。他出现了进行性出血性休克和多器官功能障碍综合征。血培养结果显示小肠结肠炎耶尔森菌生长。该患者被证实小肠结肠炎耶尔森菌检测为阴性;然而,发现其中一名献血者检测呈阳性。尽管在荷兰有必要严格挑选输血献血者,但血液成分仍可能被污染,因此在输血期间或输血后发生不良事件时都应予以考虑。

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