Transfusion incident
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.