지주막하출혈 응급수술 시 예기치못한 비예기항체의 발견 -증례 보고- (Irregular antibody found during emergency subarachnoid hemorrhage operation −A case report−)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 4권 / 1호 / 40 ~ 42페이지
· 저자명 : 정미애, 이시민, 손성일, 김동원, 심재철, 서정국, 이형중

초록

Irregular or unexpected antibodies are alloantibodies against serum
or red blood cells after previous exposure to transfusion. When
encountered in critical condition, however, risk of ongoing complication
is not entirely predictable. Rapid transfusion of safe blood
is thus, crucial not to compromise further procedure. A 78-year-old
ASA IV man presented with Hunt-Hess grade IV subarachnoid
hemorrhage with huge temporal bleeds. While in operating room,
his blood pressure dropped when the dura was opened. Meanwhile,
routine screening of blood typing repeatedly denoted Rh＋O with
irregular antibodies. Soon, compatible cross-matched blood was
infused with 37oC normal saline 200 ml at a rate of 4−5 ml/kg/hr.
There was no laboratory evidence of hemolytic transfusion reaction.
Postoperatively, BUN and creatinine increased slightly, but urination
and respiration were unremarkable.

영어초록

Irregular or unexpected antibodies are alloantibodies against serum
or red blood cells after previous exposure to transfusion. When
encountered in critical condition, however, risk of ongoing complication
is not entirely predictable. Rapid transfusion of safe blood
is thus, crucial not to compromise further procedure. A 78-year-old
ASA IV man presented with Hunt-Hess grade IV subarachnoid
hemorrhage with huge temporal bleeds. While in operating room,
his blood pressure dropped when the dura was opened. Meanwhile,
routine screening of blood typing repeatedly denoted Rh＋O with
irregular antibodies. Soon, compatible cross-matched blood was
infused with 37oC normal saline 200 ml at a rate of 4−5 ml/kg/hr.
There was no laboratory evidence of hemolytic transfusion reaction.
Postoperatively, BUN and creatinine increased slightly, but urination
and respiration were unremarkable.

참고자료

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