Tahir Janjua Muhammad Salman, Agarwal Shvetank, Castresana Manuel R
Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, GA, USA.
Ann Card Anaesth. 2018 Oct-Dec;21(4):433-436. doi: 10.4103/aca.ACA_49_18.
A 53-year-old female was admitted to the emergency department with an exsanguinating bleed from the rectum which was of unclear origin. In what could be considered an ultramassive transfusion, 60 units packed red blood cells, 23 units fresh frozen plasma, 20 units platelets, 6 units cryoprecipitate, 30 L of crystalloids, 2 L of colloids, and 4 g of tranexamic acid were transfused over the course of 7 h. An arterio-enteric fistula was diagnosed and treated by an interventional radiologist. The patient recovered rapidly thereafter without any major neurologic, pulmonary, cardiac, or hematologic complications.
一名53岁女性因不明原因的直肠大出血被送往急诊科。在堪称超大剂量输血的过程中，7小时内输注了60单位浓缩红细胞、23单位新鲜冰冻血浆、20单位血小板、6单位冷沉淀、30升晶体液、2升胶体液和4克氨甲环酸。一名介入放射科医生诊断并治疗了动脉肠瘘。此后患者迅速康复，未出现任何严重的神经、肺部、心脏或血液系统并发症。
