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수혈관련 순환량과다 1예 보고

Other Titles
 A Case Report of Transfusion-associated Circulatory Overload 
Authors
 김대원  ;  나현진  ;  김신영  ;  김현옥 
Citation
 Laboratory Medicine Online, Vol.9(1) : 30-34, 2019 
Journal Title
 Laboratory Medicine Online 
Issue Date
2019
Keywords
Transfusion reaction ; Transfusion-associated circulatory overload ; Brain natriuretic peptide (BNP) ; N-terminal prohormone of brain natriuretic peptide (NT-proBNP)
Abstract
Transfusion-associated circulatory overload (TACO) is recently becoming more important than transfusion-related acute lung injury (TRALI) in terms of the number of patients with definite diagnosis as well as its prognosis. In order to diagnose TACO, it is helpful to recognize early the symptoms suspicious of transfusion reaction through electronic medical record system and computer network, and this will be of help for obtaining samples for brain natriuretic peptide (BNP) measurement before and after the onset of transfusion reaction. We report a case in which a transfusion reaction was diagnosed as TACO. A 62-year-old woman was admitted to the emergency room due to bleeding tendency. Two fresh frozen plasma units and one unit of leukocyte-reduced red blood cells were transfused. Blood pressure increased during transfusion, and the chest X-ray showed findings suggestive of newly developed pulmonary edema. N-terminal prohormone of BNP (NT-proBNP) test was carried out using the specimens in refrigerated storage. Compared with the NT-proBNP level measured 12 hours before the transfusion, that measured 6 hours after the transfusion was markedly increased (>48 fold of pre-transfusion level). As a result, this case was diagnosed with TACO.
Files in This Item:
T201904698.pdf Download
DOI
10.3343/lmo.2019.9.1.30
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Daewon(김대원) ORCID logo https://orcid.org/0000-0002-3487-5943
Kim, Sin Young(김신영) ORCID logo https://orcid.org/0000-0002-2609-8945
Kim, Hyun Ok(김현옥) ORCID logo https://orcid.org/0000-0002-4964-1963
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173474
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