[Transfusion-related acute lung injury: a case report].
We report a patient who was suspected of transfusion-related acute lung injury. A 60-year-old man underwent emergency thoracotomy and hemostasis after pneumonectomy. The SpO2, decreased abruptly to 66% 90 minutes after transfusion of packed red blood cells and fresh frozen plasma. He was ventilated with 100% oxygen. The SPO2 returned to 100% in 3 minutes. Postoperative chest radiography showed diffuse pulmonary infiltrates. The pulmonary edema improved in 12 hours with mechanical ventilation.
Sugi
Yasuyuki
Y
Department of Anesthesiology, National Kyusyu Cancer Center, Fukuoka 811-1395.
Kurihara
Yujiro
Y
Higa
Kazuo
K
Akryoshi
Hiromi
H
D000208:Acute Disease; D004630:Emergencies; D006487:Hemostasis; D006491:Hemothorax / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000601:surgery; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy; D012121:Respiration, Artificial; D013908:Thoracotomy; D065227:Transfusion Reaction; D016896:Treatment Outcome