J Korean Orthop Assoc.  1976 Jun;11(2):213-219. 10.4055/jkoa.1976.11.2.213.

Clinical Experience of Mismatched blood Transfusion, resulted in acute Renal Failure

• Kang CN
• Choi KH
• Kim JH
• Jung KH

• KMID: 2461327
• DOI: http://doi.org/10.4055/jkoa.1976.11.2.213

Abstract

A case report on the ABO-type imcompatible transfusion has been made. The case was O-type, 51 year old male who has been transfused 1,000ml of A-type whole blood during and after the intramedullary nailing of the left femur. He had fall in acute hemoglobinuric renal failure immediately after the transfusion. He has been received peritoneal dialysis (P.D.) at eighth day after mismatched transfusion, to correct the uremic condition. His pre-P.D. labaratory findings were Hb. 4.5gm%, BUN 85mg%, creatinine 12. 2mg% and K 7.0mEq/1. He was well recovering after the P.D. but worse again in 16th day after mismatched transfusion with BUN 114mg%, creatinine 12.4mg% and pulmonary edema. An-other P.D. was performed at 16th day and recovered gradually since then. He had marked maximum amount of urine was 9, 100ml at 36 th day after mismatch transfusion. Following the second P.D. his conditions improved gradually and electrolyte imbalance was controlled caused from polyuric state properly. His renal condition was recovered completely at the ten weeks after the mismatch transfusion.

MeSH Terms

Acute Kidney Injury*
Blood Transfusion*
Creatinine
Femur
Fracture Fixation, Intramedullary
Humans
Male
Peritoneal Dialysis
Pulmonary Edema
Renal Insufficiency
Creatinine

Figure

• 

  Figure 1 Chest P-A of pulmonary Edema (mismatch-trausfusion 15th day.)

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