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Instnstructiune cu privire la transfuzia componentelor sanguine

Instnstructiune cu privire la transfuzia componentelor sanguine

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Categoriile şi managementul reacţiilor şi complicaţiilor transfuzionale<br />

Instrucţia p-ru <strong>transfuzia</strong> <strong>componentelor</strong> <strong>sanguine</strong><br />

Tipul Incidenţa Etiologia Simptomele Teste de <strong>la</strong>borator Masuri profi<strong>la</strong>ctice şi terapeutice<br />

1 2 3 4 5<br />

Hemolitice<br />

(simptomatic)<br />

1:33000<br />

1:12000<br />

Frisoane hemolitice 1:200<br />

1:100<br />

(0,5-1%)<br />

Anafi<strong>la</strong>ctic 1:170000<br />

1:18000<br />

Reacţie atipică<br />

asociată <strong>cu</strong> inhibiţia<br />

Sluzimelor<br />

angiotenziv<br />

reversibilă<br />

Supraîncărcarea<br />

cir<strong>cu</strong><strong>la</strong>ţiei<br />

Incompatibilitatea<br />

celulelor roşii<br />

Anticorpi <strong>la</strong><br />

leucocitele<br />

donatorului<br />

A<strong>cu</strong>mu<strong>la</strong>rea<br />

citochimilor în<br />

pungi <strong>cu</strong> sânge<br />

Anticorpi <strong>la</strong> proteinele<br />

p<strong>la</strong>smei (anti-IgA) <strong>la</strong><br />

donatori<br />

variabile In<strong>cu</strong>barea metabolizmului<br />

de bradichinină <strong>cu</strong> infuzia<br />

bradichininei şi<br />

activităţilor de<br />

prehelicremă<br />

1:10000<br />

1:100<br />

A<strong>cu</strong>te (

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