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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.

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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引用本文的文献

本文引用的文献

1
A pediatric case of transfusion-related acute lung injury following bone marrow infusion.
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.
Am J Respir Crit Care Med. 2007 Nov 1;176(9):886-91. doi: 10.1164/rccm.200702-271OC. Epub 2007 Jul 12.
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Am J Clin Pathol. 2007 Jul;128(1):128-34. doi: 10.1309/HC4PVY24NJXMQ884.
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J Intensive Care Med. 2007 Mar-Apr;22(2):105-10. doi: 10.1177/0885066606297969.

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