Transfusion incident

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Classification according to ICD-10
T80 Complications after infusion, transfusion, or injection for therapeutic purposes
T80.3 AB0 intolerance reaction
T80.4 Rh incompatibility reaction
T80.9
Unspecified complication following infusion, transfusion or injection for therapeutic purposes - transfusion reaction onA
ICD-10 online (WHO version 2019)

Transfusion incidents can occur during a blood transfusion . There are basically three groups:

  • The febrile non-hemolytic transfusion reaction is an allergic reaction as a result of antibodies against white blood cells . Symptoms would be: fever , chills , itching , urticaria , less often drop in blood pressure and shortness of breath.
  • The hemolytic incident is usually an AB0 intolerance. This type of transfusion incident always occurs due to human error (see bedside test ). Symptoms that can occur are: General symptoms of microcirculation disorders (pain in the lumbar region, behind the sternum and in the long bones ), shock , consumption coagulopathy and acute kidney failure .
  • The bacterial or pyrogenic reaction is caused by contaminated blood or a contaminated transfusion system. Symptoms here: shock possibly after a few ml, often hemolysis , fever and possibly septic late damage.

See also

literature

  • Wolfgang Schwerd (Hrsg.): Brief textbook of forensic medicine for doctors and lawyers. Deutscher Ärzte-Verlag, Cologne-Lövenich, 3rd, revised and expanded edition 1979, ISBN 3-7691-0050-6 , p. 52 f.