一名儿童在输注冷血过程中出现氧饱和度下降，表现为雷诺现象。

Raynaud's phenomenon in a child presenting as oxygen desaturation during transfusion with cold blood.

作者信息

Zhang Xiaopeng, Coté Charles J

机构信息

Division of Pediatric Anesthesia, Department of Anesthesia and Critical Care, Harvard Medical School, The MassGeneral Hospital for Children, Boston, MA 02114, USA.

出版信息

Paediatr Anaesth. 2008 Dec;18(12):1208-10. doi: 10.1111/j.1460-9592.2008.02782.x.

DOI:10.1111/j.1460-9592.2008.02782.x

PMID:19076576

Abstract

We report a case of Raynaud's phenomenon (RP) triggered by transfusion of cold blood to a pediatric burn patient under general anesthesia. The child was febrile so a decision was made to not use a blood warmer. When the blood was rapidly administered the child suddenly developed 'desaturation'. The child was placed on 100% oxygen, adequate ventilation assured, and the color of his oral mucosa assessed as 'pink'. Placement of the oximeter on the opposite hand revealed 100% saturation. To our knowledge, this is the first case of apparent RP reported in a pediatric patient triggered by transfusion of cold blood.

摘要

我们报告了一例在全身麻醉下给一名儿科烧伤患者输注冷血引发雷诺现象（RP）的病例。该患儿发热，因此决定不使用血液加温器。当快速输注血液时，患儿突然出现“氧饱和度下降”。给予患儿100%氧气，确保充分通气，并评估其口腔黏膜颜色为“粉红色”。将血氧饱和度测定仪置于对侧手部显示饱和度为100%。据我们所知，这是首例报道的因输注冷血引发的儿科患者明显RP病例。