Behiye AKKALYONCU, Mustafa UĞUR, Dilek Uygur, Ömer Lütfi TAPISIZ

Transfusion-related acute lung injury (trali)after delivery- a case report

TRALI, kan transfüzyonunun çoğu zaman klinisyenler tarafından tanı konulamayan ancak oldukça ciddi bir komplikasyonudur. Kan transfüzyonundan hemen sonra gelişen respiratuar distres, hipoksi ve kardiyojenik olmayan pulmoner ödem ile karakterizedir. Postpartum 23. saatte vaginal kanama nedeniyle 2 ünite tam kan verilen hastada kan transfüzyonu bitiminde dispne gelişti. Klinik olarak TRALI ile uyumlu olduğu belirlenen hasta uygun oksijen ve sıvı desteği ile tedavi edildi.

Doğum sonrası transfuzyona bağlı akut akciğer hasarı (trali)-olgu sunumu

TRALI is an underdiagnosed serious complication of blood transfusion characterized by the rapid onset of respiratory distress, hypoxia, and noncardiogenic pulmonary edema during or soon after blood transfusion. We report a case of TRALI caused by transfusion of whole blood. The 24-yearold patient had postpartum hemorrhage 23 hours after vaginal delivery. The patient received 2 units of whole blood. She developed acute respiratory distress syndrome immediately after the transfusion. Resolution of symptoms occurred in 5 days with appropriate ventilatory support and fluid management.

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