전신 마취중 발생한 부적합수혈 증예 보고 = An Experienee with Incompatible Blood Transfusion during General Anesthesia

다국어 초록 (Multilingual Abstract)

We have experienced a case of incompatible blood transfusion during general anesthesia in which 300ml of improperly typed blood were tranfused. Upon discovery of the error, the tranfusion was discontinued and the patient was immediately, carefuliy and aggressively treated with proper fresh blood, plasma expander(Rheomacrdex-D), fluids(Hartmanns solutipn and 10% dextrose in water) and drugs (Solu-Cortef 300 mg, furosemide 400 mg, 20% manitol 500 ml, digoxine 0. 5 mg, morphine 15 mg). The free hemoglobin in the plasma and urine and blood gas of the femoral or radial artery were rnonitorecl throughout the resuscitative procedure.
It is felt that accidental incompatible blood transfusion of more than 300 ml should be preventable and that the patients life may be saved without serious complications with imme-diate and proper management.