Source:http://linkedlifedata.com/resource/pubmed/id/10087832
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1999-6-2
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pubmed:abstractText |
A 70-yr-old woman was scheduled for hepatectomy and colectomy. We gave general anesthesia with N2O-O2-Isoflurane and continuous epidural block. About 4.5 hours after the start of the operation, 8 units of irradiated RBC-MAP were transfused. Then elevated T waves were noted and serum potassium was increased to 5.4 mmol.l-1. The transfusion of RBC-MAP was stopped and calcium gluconate was administered immediately. Then serum potassium decreased to 4.3 mmol.l-1 and ECG returned to normal. During the operation, 10 units of irradiated RBC-MAP were transfused and 8 units of them had been stored more than 1 week after the irradiation. We suspect that hyperkalemia was induced by high concentration of potassium in RBC-MAP. Irradiation of blood products is an effective way to prevent post-transfusion graft versus host disease. However, the increase in potassium is greater in the irradiated than nonirradiated RBC-MAP. We must pay attention to the high concentration of potassium in th eplasma of RBC-MAP stored after irradiation.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0021-4892
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
48
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
192-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10087832-Aged,
pubmed-meshheading:10087832-Blood Preservation,
pubmed-meshheading:10087832-Blood Transfusion,
pubmed-meshheading:10087832-Erythrocyte Membrane,
pubmed-meshheading:10087832-Female,
pubmed-meshheading:10087832-Humans,
pubmed-meshheading:10087832-Hyperkalemia,
pubmed-meshheading:10087832-Potassium,
pubmed-meshheading:10087832-Time Factors
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pubmed:year |
1999
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pubmed:articleTitle |
[Hyperkalemia after irradiated blood transfusion].
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pubmed:affiliation |
Department of Anesthesiology, Yamanashi Medical University.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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