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Medicinski časopis
2017, vol. 51, br. 1, str. 30-33
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.5937/mckg51-13750


Prikaz slučaja - terapijska zamena plazme putem autologne transfuzije u akušerskom urgentnom stanju
aDepartment for Transfusion Medicine, Clinical Center of Kragujevac, Kragujevac
bClinic for Hematology, Clinical Center of Serbia, Belgrade
cVojnomedicinska akademija
dMilitary Medical Academy, Belgrade + Serbian Academy of Sciences and Arts, Belgrade

e-adresa: marija.vranes@hotmail.com

Sažetak

Uvod. Povećane vrednosti triglicerida (hiperlipidemija) obično su posledica niza poremećaja u organizmu koji vremenom mogu dovesti do stanja poput hipotireoze, nefrotskog sindroma, dijabetesa, opstrukcije žučnih puteva, oštećenja funkcije jetre i dr. Kako lečiti ekstremnu hiperlipidemiju značajna je tema za diskusiju u medicinskim krugovima. Prikaz slučaja. U ovom radu prikazan je slučaj 33-godišnje trudnice u 34. nedelji prve uredne trudnoće sa laboratorijski verifikovanom ekstremnom hiperlipidemijom, koja je u kritičnom stanju dovezena u Klinički centar Kragujevac. Nakon hitno izvršenog porođaja carskim rezom zbog opšteg lošeg stanja pacijentkinje i ekstremno visokih vrednosti triglicerida i holesterola, indikovana je lipofereza, za čiji tretman u našoj ustanovi ne postoje tehničke mogućnosti, te je bilo neophodno pronaći alternativno rešenje. Zaključak. Pokazano je da aparat za intraoperativno spasavanje krvi može biti uspešno upotrebljen ne samo kod obilnog krvarenja u toku hirurške intervencije nego i za čišćenje same krvi, što jasno pokazuju laboratorijske analize.

Ključne reči

hiperlipidemija; operativno spašavanje krvi; transfuzija krvi; autologna

Reference

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