title: [Ischemic Changes in the Electrocardiogram and Circulatory Collapse Accompanied by Severe Anemia Owing to the Delay of Red Blood Cell Concentrate Transfusion in Two Patients with Intraoperative Massive Bleeding].
abstract: We present two patients developing intraoperative massive bleeding and showed ischemic changes in the electrocardiogram and circulatory collapse accompanied by severe anemia owing to the delay of red blood cell concentrate transfusion. One patient underwent hepatectomy and the other pancreaticoduodenectomy. Their lowest hemoglobin concentration was around 2 g x dl(-1), and they showed ischemic changes in the electrocardiogram and severe decreases in blood pressure. The former received compatible red blood cell concentrate and the latter received uncrossmatched same blood group red blood cell concentrate immediately, and their electrocardiogram and blood pressure quickly improved. To avoid life-threatening anemia, emergency red blood cell concentrate transfusion including compatible different blood group transfusion should be applied for intraoperative massive bleeding.
authors.forename: Toshinori
authors.initials: T
authors.lastname: Horiuchi
authors.forename: Teruo
authors.initials: T
authors.lastname: Noguchi
authors.forename: Naoko
authors.initials: N
authors.lastname: Kurita
authors.forename: Ayako
authors.initials: A
authors.lastname: Yamaguchi
authors.forename: Masafumi
authors.initials: M
authors.lastname: Takeda
authors.forename: Keiichi
authors.initials: K
authors.lastname: Sha
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Nagahata
mesh_terms: D000368:Aged; D000740:Anemia / Q000209:etiology*; D016063:Blood Loss, Surgical; D004562:Electrocardiography; D017707:Erythrocyte Transfusion; D006801:Humans; D008297:Male; D012769:Shock / Q000209:etiology*