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输血相关性急性肺损伤误诊为心源性肺水肿1例分析并文献复习
引用本文:余跃天,刘春艳,倪菊平. 输血相关性急性肺损伤误诊为心源性肺水肿1例分析并文献复习[J]. 中国误诊学杂志, 2011, 11(25): 6056-6058
作者姓名:余跃天  刘春艳  倪菊平
作者单位:上海市瑞金医院集团闵行区中心医院ICU,上海,201100
摘    要:目的 探讨输血相关性急性肺损伤(TRALI)的临床表现、误诊及漏诊原因.方法 报道1例典型TRALI病例,并复习相关文献.结果 此例患者误诊后治疗效果不佳,经明确诊断后症状缓解,预后改善.结论 TRAIL病死率高,危害性大,且容易误诊漏诊,临床应提高对其的防范意识.

关 键 词:肺/损伤  肺疾病/病因学/诊断  输血/副作用  误诊  水肿,心源性/诊断

Transfusion related acute lung injury misdiagnosed as cardiogenicpulmonary edema:a case report and literature review
YU Yue-tian,LIU Chun-yan,NI Ju-ping. Transfusion related acute lung injury misdiagnosed as cardiogenicpulmonary edema:a case report and literature review[J]. Chinese Journal of Misdiagnostics, 2011, 11(25): 6056-6058
Authors:YU Yue-tian  LIU Chun-yan  NI Ju-ping
Affiliation:Department of ICU,Minhang Central Hospital of Shanghai Ruijin Hospital Group,Shanghai 201100,China
Abstract:Objective To analyze the clinical features,treatment prognosis and diagnostic errors of transfusion related acute lung injury(TRALI).Methods A typical case with TRALI was reported by its clinical presentation and treatment.We also reviewed the related literatures.Results Our primary diagnosis was established as cardiogenic pulmonary edema,but the symptoms were not relieved when given the relative treatment.After we corrected the diagnosis as TRALI and gave the patient adrenal cortical hormone,the symptoms were soon relieved.Conclusions TRALI is easily misdiagnosed,due to the relatively high rates of mortality in TRALI,more attentions should be paid.
Keywords:Lung/injuries  Lung Diseases/etiology/diagnosis  Diagnostic Errors  Edema  Cardiac/diagnosis
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