title: [Hypersensitive reaction after application of heparin with activation heparin induced trombocytopenia in initiation of intermittent haemodialysis].
abstract: Our report describes the case of patient with hypersensitive reaction regularly arising early after initiation of haemodialysis. This characteristic reaction with pletoric face coloration, bronchospasm, increase of blood pressure, anxiety and decrease of blood oxygen saturation at the consequence and central cyanosis was regularly present without dependence on type of dialysis membrane, drug premedication or prophylactic flushing haemodialysis system by isotonic natrium chloride solution. Low platelet value and trouble-free haemodialysis realized without heparin showed real cause of patients problem. Resolution of this state was regional citrate anticoagulation during intermitent haemodialysis.
authors: Jan
authors: J
authors: Masopust
authors: Jiří
authors: J
authors: Charvát
authors: Dana
authors: D
authors: Mokrá
authors: Ondřej
authors: O
authors: Hloch
authors: Jan
authors: J
authors: Háša
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D006435:Renal Dialysis / Q000009:adverse effects*; D051437:Renal Insufficiency / Q000628:therapy; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000175:diagnosis / Q000517:prevention & control
chemical_list: D000925:Anticoagulants; D006493:Heparin