肝移植术后过客淋巴细胞综合征患者输注异型洗涤红细胞的护理1例
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摘要
目的探讨肝移植术后过客淋巴细胞综合征(PLS)患者输注异型血的护理。方法患者男,63岁,确诊肝移植术后PLS,免疫性溶血性贫血,经输注供体血型相同的洗涤红细胞治疗。结果经积极治疗和护理,贫血明显改善。结论及早发现肝移植术后PLS,及时为患者输注供体血型相同的洗涤红细胞,并对输血过程进行有效的控制,能够促进疾病的预后,提高患者的生存质量。
Objectives To discuss potential strategies for Passenger Lymphocyte Syndrome( PLS) patients with allogeneic red blood cell transfusion. Method A female patient,aged 63,suffered PLS after liver transplantation along with immune hemolytic anemia. An allogeneic red blood cell transfusion strategy was adopted and resulted in improved patient condition.Conclusion The strategy we proposed in this case take advantage of early detection of PLS and the transfusion should be performed within the right time window. With proper control over the transfusion period,patient condition post-operation can be improved.
Objectives To discuss potential strategies for Passenger Lymphocyte Syndrome( PLS) patients with allogeneic red blood cell transfusion. Method A female patient,aged 63,suffered PLS after liver transplantation along with immune hemolytic anemia. An allogeneic red blood cell transfusion strategy was adopted and resulted in improved patient condition.Conclusion The strategy we proposed in this case take advantage of early detection of PLS and the transfusion should be performed within the right time window. With proper control over the transfusion period,patient condition post-operation can be improved.
引文
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[4]赵磊,马潞林,张洪宪,等.肾移植后过客淋巴细胞综合征致重度溶血性贫血一例.中华器官移植杂志,2014,35(11):672-675.
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[7]王明慧,方春燕,梁萍,等.洗涤红细胞输注在自身免疫性溶血性贫血治疗中的应用研究.临床和实验医学杂志,2015,14(24):2101-2103.
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[9]徐颖,施鹏飞,谢亚萍,等.次要ABO血型不合的“微移植”后过客淋巴细胞综合征1例报道并文献复习.浙江医学,2015,37(18):1554-1556.
[10]Jerry E.Squires.Passenger Lymphocyte Syndrome:A Case ReportInvolving Non-ABO Antibodies.Transfus Med Hemother,2014,41:153-155.
[11]Watz E,Remberger M,Ringden 0,et al.Ana Iysis Of donor and recipient AB0 incompatibility and antibody-associated complications after allogeneic stem cell transplantations with reduced-intensity conditioning.Biol Blood Marrow Transplant,2014,20(2):264-271.
[12]马帅军,郑昱,刘克普,等.Rh阳性患者接受Rh阴性尸体供肾肾移植2例并文献复习.器官移植,2015,6(3):190-193.
[13]Dubey A,Pandey H,Sonker,et al.A case of passenger lymhpocyte syndrome follwing minor ABO incompatible renal transplantation.Asian J Transfus Sci,2014,8(1):56-58.
[2]Samuel Romero,Pilar Solves,Aima Lancharro,et al.Passenger lymphocyte syndrome in liver transplant recipients:a description of12 cases,Blood Transfus 2015;13;423-428.
[3]Nadarajah L,Ashman N,Thuraisingham R,et al.Literature review of passenger lymphocyte syndrome following renal transplantation and two case report.Am J Transplant,2013,13(6):1594-1600.
[4]赵磊,马潞林,张洪宪,等.肾移植后过客淋巴细胞综合征致重度溶血性贫血一例.中华器官移植杂志,2014,35(11):672-675.
[5]王振芳,张志玲.最新医院输血手册.北京:人民军医出版社,2007:26.
[6]闫志慧.一例肝移植术后过客淋巴细胞综合征患者的护理.天津护理,2015,23(6):539-540.
[7]王明慧,方春燕,梁萍,等.洗涤红细胞输注在自身免疫性溶血性贫血治疗中的应用研究.临床和实验医学杂志,2015,14(24):2101-2103.
[8]陈立中,陈国栋.ABO血型不相容活体肾移植的热点评析.器官移植,2013,4(4):187-190.
[9]徐颖,施鹏飞,谢亚萍,等.次要ABO血型不合的“微移植”后过客淋巴细胞综合征1例报道并文献复习.浙江医学,2015,37(18):1554-1556.
[10]Jerry E.Squires.Passenger Lymphocyte Syndrome:A Case ReportInvolving Non-ABO Antibodies.Transfus Med Hemother,2014,41:153-155.
[11]Watz E,Remberger M,Ringden 0,et al.Ana Iysis Of donor and recipient AB0 incompatibility and antibody-associated complications after allogeneic stem cell transplantations with reduced-intensity conditioning.Biol Blood Marrow Transplant,2014,20(2):264-271.
[12]马帅军,郑昱,刘克普,等.Rh阳性患者接受Rh阴性尸体供肾肾移植2例并文献复习.器官移植,2015,6(3):190-193.
[13]Dubey A,Pandey H,Sonker,et al.A case of passenger lymhpocyte syndrome follwing minor ABO incompatible renal transplantation.Asian J Transfus Sci,2014,8(1):56-58.