전신 마취중 발생한 부적합수혈 증예 보고
An Experience with Incompatible Blood Transfusion during General Anesthesia
황호성, 김명호, 박동호, 김완식,
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황호성 ( ) - 한양대학교 의과대학 마취과학교실
김명호 ( ) - 한양대학교 의과대학 마취과학교실
박동호 ( ) - 한양대학교 의과대학 마취과학교실
김완식 ( ) - 한양대학교 의과대학 마취과학교실
KMID : 0356919760090010043
Abstract
We have experienced a case of incompatible blood transfusion during general anesthesia in which 300㎖ of improperly typed blood were tranfused. Upon discovery of the error, the tranfusion was discontinued and the patient was immediately, carefully and aggressively treated with proper fresh blood, plasma expander(Rheomacrdex-D), fluids(Hartmann´s solution and 10% dextrose in water) and drugs (Solu-Cortef 300 ㎎, furosemide 400 ㎎, 20% manitol 500 ㎖, digoxine 0.5 ㎎, morphine 15 ㎎). The free hemoglobin in the plasma and urine and blood gas of the femoral or radial artery were monitored throughout the resuscitative procedure.
It is felt that accidental incompatible blood transfusion of more than 300 ㎖ should be preventable and that the patient´s life may be saved without serious complications with immediate and proper management.
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