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Reacción hemolítica a una transfusión - Treatment

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Reacción a una transfusión de sangre

Tratamiento:

La terapia puede prevenir o tratar los efectos graves de una reacción hemolítica a una transfusión. Si se presentan síntomas durante la transfusión, ésta se debe suspender inmediatamente. Las muestras de sangre de la persona que recibe la transfusión y del donante se pueden analizar para establecer si los síntomas son causados o no por una reacción a la transfusión.

Los síntomas leves se pueden tratar con lo siguiente:

  • El analgésico paracetamol puede reducir la fiebre y la molestia.
  • Se pueden administrar líquidos a través de una vena (intravenosos) y otros medicamentos para tratar o prevenir la insuficiencia renal y el shock.

Pronóstico:

El pronóstico depende de la severidad de la reacción. El trastorno puede desaparecer sin problemas o puede ser grave y potencialmente mortal.

Posibles complicaciones:

Cuándo contactar a un profesional médico:

Coméntele al médico si le están haciendo una transfusión de sangre y ha tenido una reacción antes.

  • Reviewed last on: 2/28/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Goodnough L. Transfusion medicine. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 183.

Wu YY, Mantha S, Snyder EL. Transfusion reactions. In: Hoffman R, Benz EJ Jr., Shattil SJ, et al, eds. Hoffman Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingstone Elsevier; 2008:chap 153.

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