Haldar Rudrashish, Samanta Sukhen
Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
J Emerg Trauma Shock. 2013 Oct;6(4):283-6. doi: 10.4103/0974-2700.120378.
Transfusion associated circulatory overload (TACO) and transfusion related acute lung injury (TRALI) are two dissimilar pathological conditions associated with transfusion of blood products where the time course of the events and clinical presentation overlap leading to uncertainty in establishing the diagnosis and initiating the treatment, which otherwise differs. We encountered a case where a patient of post-partum hemorrhage developed TACO in the immediate post-operative period due to aggressive resuscitative attempts with blood products. The patient's condition was appropriately diagnosed and was managed according to the clinical scenario, and the condition abated. Subsequently, on the third post-operative day the patient again required blood product transfusions following which the patient developed TRALI, the diagnosis of which was also established and adequate treatment strategy was undertaken.
输血相关循环超负荷（TACO）和输血相关急性肺损伤（TRALI）是与血液制品输注相关的两种不同病理状况，在这些情况中，事件的时间进程和临床表现相互重叠，导致在确立诊断和启动治疗方面存在不确定性，而这两种情况的治疗方法是不同的。我们遇到了这样一个病例，一名产后出血患者在术后即刻因积极输注血液制品进行复苏尝试而发生了TACO。该患者的病情得到了恰当诊断，并根据临床情况进行了处理，病情得到缓解。随后，在术后第三天，该患者再次需要输注血液制品，之后发生了TRALI，其诊断也得以确立，并采取了适当的治疗策略。
