Teodori Julien, Rampersad Kamal, Teodori Giovanni, Roopchand Roland, Angelini Gianni Davide
Caribbean Heart Care Medcorp, Port Of Spain, Trinidad and Tobago.
J Cardiothorac Surg. 2014 Apr 2;9:64. doi: 10.1186/1749-8090-9-64.
A Indo-Caribbean patient undergoing cardiac surgery developed Transfusion Related Acute Lung Injury (TRALI) with massive endobronchial secretion of clear fluid mimicking severe pulmonary edema. Hypoxemia and lung stiffness were so severe that didn't allow closure of the sternum on completion of surgery. The patient was treated with invasive ventilation, high positive pressure and % FiO2 and aggressive endotracheal suction. After several hours, secretions reduced spontaneously and the patient made an uneventful recovery.
一名接受心脏手术的印度加勒比裔患者发生了输血相关性急性肺损伤（TRALI），出现大量支气管内清亮液体分泌，类似严重肺水肿。低氧血症和肺僵硬非常严重，以至于手术结束后无法关闭胸骨。患者接受了有创通气、高正压和高比例吸氧以及积极的气管内吸引治疗。数小时后，分泌物自行减少，患者顺利康复。
