一名黄体囊肿破裂年轻女性术后输血相关急性肺损伤：病例报告及文献回顾

摘要(中文译文)

本病例研究探讨了一名22岁未婚女性因黄体囊肿破裂导致休克的情况。围手术期，患者接受了多次红细胞和新鲜冰冻血浆输注。随后，患者在最后一次输血后6小时发生了输血相关急性肺损伤。研究结果表明，抗磷脂综合征的炎症特征及深静脉血栓形成与输血相关急性肺损伤的发生密切相关。外科手术及围手术期多次输血，尤其是涉及新鲜冰冻血浆的输注，被确定为输血相关急性肺损伤急性发作的重要促成因素。医护人员应加强输血管理并提高对输血相关急性肺损伤的认识，尤其是在医疗资源有限的非洲国家。

Abstract

This case study examines a 22-year-old unmarried woman who experienced shock resulting from rupture of a corpus luteum cyst. During the perioperative period, the patient received multiple transfusions of red blood cells and fresh frozen plasma. Subsequently, the patient developed transfusion-related acute lung injury 6 h following the final blood transfusion. The findings indicated that the inflammatory characteristics of antiphospholipid syndrome and deep vein thrombosis were closely associated with the onset of transfusion-related acute lung injury. Surgical procedures and multiple perioperative blood transfusions, particularly those involving fresh frozen plasma, were identified as significant contributors to the acute onset of transfusion-related acute lung injury. It is crucial for healthcare professionals to improve blood transfusion management and increase awareness of transfusion-related acute lung injury, especially in African countries with limited medical resources.

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