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수혈 후 아나필락시스를 보인 환자의 세척 혈소판 수혈 경험 1례
DC Field | Value | Language |
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dc.contributor.author | 김신영 | - |
dc.date.accessioned | 2018-03-26T17:10:09Z | - |
dc.date.available | 2018-03-26T17:10:09Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 1226-9336 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/157274 | - |
dc.description.abstract | Anaphylactic transfusion reaction is caused by deficiency of certain protein(s) in the recipient. We report on the experience of platelet count recovery using washed platelets for transfusion in a patient who developed an anaphylactic transfusion reaction. A 50-year old male diagnosed with angioimmunoblastic T-cell lymphoma was treated with chemotherapy followed by autologous hematopoietic stem cell transplantation. Immediately after starting transfusion of apheresis platelets, he began sweating and complained of visual impairment, chest discomfort, and abdominal pain. Both systolic and diastolic blood pressures and oxygen saturation monitored by pulse oximetry were decreased. Platelet transfusion was discontinued immediately and hydrocortisone was administered, and the symptoms and signs were resolved within two hours. Laboratory test using post-transfusion blood showed no apparent evidence of hemolysis. Platelet washing procedure using normal saline three times was newly set to prevent anaphylactic reaction in the patient. Transfusions of washed platelets were performed 20 times for 60 days, and the patient showed no anaphylactic reaction during this period. He showed no evidence of immunoglobulin A, haptoglobin, C3, or C4 deficiencies. We confirmed that washed platelet transfusion is highly effective for prevention of anaphylactic transfusion reaction. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한수혈학회 | - |
dc.relation.isPartOf | Korean Journal of Blood Transfusion (대한수혈학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 수혈 후 아나필락시스를 보인 환자의 세척 혈소판 수혈 경험 1례 | - |
dc.title.alternative | A Case of Washed Platelet Transfusion in a Patient with History of Recurrent Transfusion Reaction Ji Yeon Sohn1, Joo-Hyoung Hwang1, Hyang-lae Lee1 | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Laboratory Medicine | - |
dc.contributor.googleauthor | 손지연 | - |
dc.contributor.googleauthor | 황주형 | - |
dc.contributor.googleauthor | 이향래 | - |
dc.contributor.googleauthor | 이혜림 | - |
dc.contributor.googleauthor | 강수진 | - |
dc.contributor.googleauthor | 엄현석 | - |
dc.contributor.googleauthor | 이은경 | - |
dc.contributor.googleauthor | 김신영 | - |
dc.contributor.googleauthor | 박경운 | - |
dc.contributor.googleauthor | 공선영 | - |
dc.identifier.doi | 10.17945/kjbt.2015.26.3.316 | - |
dc.contributor.localId | A00675 | - |
dc.relation.journalcode | J01970 | - |
dc.subject.keyword | Washed platelet | - |
dc.subject.keyword | Transfusion reaction | - |
dc.subject.keyword | Anaphylaxis | - |
dc.contributor.alternativeName | Kim, Sin Young | - |
dc.contributor.affiliatedAuthor | Kim, Sin Young | - |
dc.citation.volume | 26 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 316 | - |
dc.citation.endPage | 322 | - |
dc.identifier.bibliographicCitation | Korean Journal of Blood Transfusion (대한수혈학회지), Vol.26(3) : 316-322, 2015 | - |
dc.identifier.rimsid | 42314 | - |
dc.type.rims | ART | - |
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