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Analysis of the Adverse Effects Associated with Therapeutic Plasmapheresis / 대한수혈학회지
Korean Journal of Blood Transfusion ; : 161-170, 2011.
Article Dans Coréen | WPRIM | ID: wpr-10517
ABSTRACT

BACKGROUND:

Although therapeutic plasmapheresis (TP) is a useful procedure in removing pathogenic antibodies and toxic substances from the patient, adverse reactions could arise from the use of replacement fluids and anticoagulants. Comprehensive analysis on those adverse effects had been rarely reported in Korea.

METHODS:

We retrospectively investigated the clinical records and the TP records from 3,962 TP sessions for 581 patients between January 1995 and October 2008 at Asan Medical Center, and we analyzed the adverse reactions related to TP.

RESULTS:

Adverse reactions were seen in 142 patients (24.4%) in 348 TP procedures (8.8%). Citrate toxicity was most frequently seen in 83 procedures (23.9%) followed by chills in 72 procedures (20.7%), allergic reactions in 69 procedures (19.8%) and hypotension in 60 procedures (17.2%). Citrate toxicity, chills and allergic reactions were seen more frequently in the TP procedures using FFP than in the TP procedures using albumin (P=0.001). The prevalence of citrate toxicity was significantly lower in the cases where calcium gluconate was administered (P<0.001), while it was significantly higher in the patients whose hematocrit was below 28.5% (P<0.001). In terms of severity, the mild, moderate and severe adverse reactions were 36.8%, 56.3% and 6.9%, respectively.

CONCLUSION:

TP is a relatively safe method of treatment, but it is important to predict and prevent adverse reactions and to respond appropriately to these adverse reactions.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Gluconate de calcium / Prévalence / Études rétrospectives / Plasmaphérèse / Acide citrique / Sensation de froid / Gluconates / Hématocrite / Hypersensibilité / Hypotension artérielle Type d'étude: Étude observationnelle / Étude de prévalence Limites du sujet: Humains langue: Coréen Texte intégral: Korean Journal of Blood Transfusion Année: 2011 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Gluconate de calcium / Prévalence / Études rétrospectives / Plasmaphérèse / Acide citrique / Sensation de froid / Gluconates / Hématocrite / Hypersensibilité / Hypotension artérielle Type d'étude: Étude observationnelle / Étude de prévalence Limites du sujet: Humains langue: Coréen Texte intégral: Korean Journal of Blood Transfusion Année: 2011 Type: Article