We are reporting a case of fatality due to the acute hemolytic reaction during the whole blood transfusion. The minor reactions of the blood transfusion are relatively transfusion. But one of the most serious and difficult reaction is the acute hemolytic reaction, and it is not rare. The symptoms and treatment for the acute hemolytic reaction are described.
Blood Transfusion*

No abstract available.
Blood Transfusion

No abstract available.
Blood Transfusion*

Blood Transfusion

No abstract available.
Blood Transfusion*

No abstract available.
Blood Transfusion

Background: Massive blood transfusion is common in surgery: trauma, complicated surgery, organ implantation. Stored blood contains much lactate, ammonia, products of metabolism. These products have negative effects on patient\u2019s metabolic function which may be a cause of death. Objective: To study the change of blood biochemical indexes in surgical patients with massive blood transfusion at Viet Duc hospital. Subjects and method: A prospective study was conducted in the adult patients who had emergency and operation at Viet Duc hospital, from December/2004 to August/2006. All of them were transfused over 3000 ml of blood within 24 hours (pre-operation, intra-operation and post-operation). Results: During the period of study, there were 70 surgical patients with massive blood transfusion: men were more than woman (64%) and the mean age: 38\xb117. The survival rate was significantly improved (57%). The average transfused blood per patient per 24 hours was 3995ml\xb11067ml. There was a decrease in the value of pH, acid-base and HCO3 (the average pH value 7.218\xb10.181, lowest value 6.7). The average value of pH and HCO3\xac was higher in the survival patients than died patients (p<0.05). The mean level of K+ was 3.8\xb10.96mml/l. The increase in the level of K+ had a positive association with the amount of transfused blood. The mean level of Ca++ \xac\xacdecreased under the normal level (0.98mml). Conclusion: It should monitor blood gas and electrolytes continuously in surgical patients with massive blood transfusion in order to identify disorders soon for timely treatment.
Blood Transfusion

Background: Blood and blood products are biological products that can not be replaced. Blood transfusion plays an enormous role in the treatment. However, in blood transfusion patients may have severe complications that can lead to death.\r\n', u'Objective: to describe accidents in blood and blood product transfusion practice. Subjects and method: The prospective, clinically descriptive study was carried out on 134 patients with 175 times of blood and blood transfusion at B Department of Hai Phong Pediatric Hospital from 1/1/2004 to 30/06/2008. Each time of transfusion was followed up according to an uniform medical record. Results and conclusion: Amount of blood used was 40.95 lit including total blood: 10.75 lit (26.6%), red cells mass: 28.85 lit (63.2%), fresh plasma 2.45 lit (5.8%), platelet rich fresh plasma rich: 1.9 lit (4.6%). Number of accidents occurring were 20, accounting for 14.1%. Patients with acute leukemia had the highest of incidence rate for transmission accidents (12.5%). Three kinds of the most frequently encountered blood and blood product transfusion accidents were high fever and chill (6.9%), rash (4%) and shock (0.5%). There were no deaths from blood transfusion. Accidents happened mainly to patients who get transfused many times.\r\n', u'
Blood Transfusion

No abstract available.
Blood Platelets* ; Blood Transfusion*

platelets transfusions to 24 patients treated from 1/7 to 15/9/2000 indicated that one unit of apheresis platelets count by 52.The effectiveveness of apheresis platelets prepared by cell seperator 3000 plus. A descriptive study of 33 apheresis 232 +/- 10.457 x 109/l & 37.091 +/- 12.032x 10.9/l 1 & 24 hour after transfusion respectively in a 51.3+/- 4.3 kg Vietnamses. There was a significant difference in platelets count increament between 1 hour and 24 hour after transfusion in patients with fever or heamorrhage
Blood Platelets ; Blood Transfusion