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KMID : 0384320160370010071
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Korean Journal of Family Medicine
2016 Volume.37 No. 1 p.71 ~ p.74
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Transfusion Related Acute Lung Injury after Cesarean Section in a Patient with HELLP Syndrome
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Moon Kyoung-Min
Han Min-Soo
Rim Chang-Bum
Kim So-Ri
Shin Sang-Ho
Kang Min-Seok
Lee Jun-Ho
Kim Ji-Hye
Kim Sang-Il
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Abstract
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Transfusion-related acute lung injury (TRALI) is a serious adverse reaction of transfusion, and presents as hypoxemia and non-cardiogenic pulmonary edema within 6 hours of transfusion. A 14-year-old primigravida woman at 34 weeks of gestation presented with upper abdominal pain without dyspnea. Because she showed the syndrome of HELLP (hemolysis, elevated liver enzymes, and low platelet count), an emergency cesarean section delivery was performed, and blood was transfused. In the case of such patients, clinicians should closely observe the patient’s condition at least during the 6 hours while the patient receives blood transfusion, and should suspect TRALI if the patient complains of respiratory symptoms such as dyspnea. Furthermore, echocardiography should be performed to distinguish between the different types of transfusion-related adverse reactions.
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KEYWORD
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Acute Lung Injury, HELLP Syndrome, Blood Transfusion, Cesarean Section
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