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输血相关急性肺损伤(TRALI):2例报告及文献综述

Transfusion-Related Acute Lung Injury (TRALI): Report of 2 Cases and a Review of The Literature.

作者信息

Nossaman Bobby D

机构信息

Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA.

出版信息

Ochsner J. 2008 Spring;8(1):32-8.

PMID:21603554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3096419/
Abstract

Transfusion of allogeneic blood products is given for correction of coagulation deficits and for the improvement in oxygen-carrying capacity or delivery. Blood transfusion has become safer following the advancement in blood testing using state-of-the-art viral assays; however, there continues to exist a variety of noninfectious transfusion risks that still remain and that cannot be entirely eliminated. Research is now directed towards understanding these lesser-known, but serious transfusion-related complications. This purpose of this review is to discuss a serious noninfectious cause of acute lung injury, transfusion-related acute lung injury (TRALI), which occurred in 2 recent cases in the intensive care unit, and to review the current literature of this syndrome.

摘要

输注异体血液制品用于纠正凝血缺陷以及提高氧携带能力或氧输送。随着采用先进病毒检测方法的血液检测技术取得进展,输血已变得更加安全;然而,仍然存在多种非感染性输血风险,这些风险依然存在且无法完全消除。目前的研究方向是了解这些鲜为人知但严重的输血相关并发症。本综述的目的是讨论急性肺损伤的一种严重非感染性病因——输血相关急性肺损伤(TRALI),该病症在重症监护病房最近发生的2例病例中出现,并回顾该综合征的当前文献。

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本文引用的文献

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A pediatric case of transfusion-related acute lung injury following bone marrow infusion.一例骨髓输注后输血相关急性肺损伤的儿科病例。
Pediatr Transplant. 2007 Aug;11(5):543-6. doi: 10.1111/j.1399-3046.2007.00745.x.
2
Transfusion-related acute lung injury in the critically ill: prospective nested case-control study.危重症患者输血相关急性肺损伤:前瞻性巢式病例对照研究
Am J Respir Crit Care Med. 2007 Nov 1;176(9):886-91. doi: 10.1164/rccm.200702-271OC. Epub 2007 Jul 12.
3
Increased permeability-oedema and atelectasis in pulmonary dysfunction after trauma and surgery: a prospective cohort study.创伤与手术后肺功能障碍中通透性增加性水肿和肺不张:一项前瞻性队列研究。
BMC Anesthesiol. 2007 Jul 9;7:7. doi: 10.1186/1471-2253-7-7.
4
Transfusion related acute lung injury (TRALI): a review.输血相关急性肺损伤(TRALI):综述
Mo Med. 2007 May-Jun;104(3):270-5.
5
Transfusion-related acute lung injury: a case-control pilot study of risk factors.输血相关急性肺损伤:危险因素的病例对照初步研究
Am J Clin Pathol. 2007 Jul;128(1):128-34. doi: 10.1309/HC4PVY24NJXMQ884.
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Transfusion-transmitted infections.输血传播感染
J Transl Med. 2007 Jun 6;5:25. doi: 10.1186/1479-5876-5-25.
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Toward the prevention of acute lung injury: protocol-guided limitation of large tidal volume ventilation and inappropriate transfusion.预防急性肺损伤:方案指导下限制大潮气量通气和不当输血。
Crit Care Med. 2007 Jul;35(7):1660-6; quiz 1667. doi: 10.1097/01.CCM.0000269037.66955.F0.
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