지주막하출혈 응급수술 시 예기치못한 비예기항체의 발견 -증례 보고-Irregular antibody found during emergency subarachnoid hemorrhage operation −A case report−
- Other Titles
- Irregular antibody found during emergency subarachnoid hemorrhage operation −A case report−
- Authors
- 정미애; 이시민; 손성일; 김동원; 심재철; 서정국; 이형중
- Issue Date
- Jan-2009
- Publisher
- 대한마취통증의학회
- Keywords
- hemolytic transfusion reaction; irregular antibodies; transfusion
- Citation
- Anesthesia and Pain Medicine, v.4, no.1, pp.40 - 42
- Indexed
- KCI
OTHER
- Journal Title
- Anesthesia and Pain Medicine
- Volume
- 4
- Number
- 1
- Start Page
- 40
- End Page
- 42
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/177349
- ISSN
- 1975-5171
- Abstract
- 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.
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