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Delayed Hemolytic Transfusion Reaction in Treatment of Multiple Fracture
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Ye Yeon Won, Byoung Hyun Min, Weon Ik Lee, Myeong Ryeol Song
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J Korean Soc Fract 1998;11(3):617-622. Published online July 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.3.617
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 Abstract
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- This is a case report of delayed hemolytic transfusion reaction due to Anti-Le*b and Anti-JK*b in treatment of multiple fracture. The patient was a 14 year-old boy and had no history of transfusion or blood products. The patient underwent open reduction and internal fixtion for fracture of supracondyle of femur with massive blood transfusion. Abnormal finding of ABO incompatibility was not found as usual method. The patient developed a marked fall in hemoglobin and hematocrit value and a marked hyperbilirubinemia at 8 day after surgery, which suggested hemolytic anemia and jaundice. After the evaluation of this hemolytic anemia and jaundice, we found the anti-Le*b antibody and Anti-Jk*b antibody. A delayed hemolytic transfusion reaction represents an infrequent, but potentially hazardous complication of blood transfusion. The phenomenon usually oringinates from exposure to a blood group antigen by prior transfusion or pregnancy. delayed appearance of isoantibodies, first detected 4 to 14 days after the transfusion of apparently compatible blood, has been detected by the authors.
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Pelvic Bone Fractures in Children
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Byoung Suck Kim, Ye Yeon Won, Weon Ik Lee, Myeong Ryeol Song, Jae In Ahn
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J Korean Soc Fract 1998;11(1):107-114. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.107
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Abstract
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- The pelvic bone fractures in children were uncommon, except for avulsion injuries in the literature and authors had 21 cases of children's pelvic bone fracture, ranging from 1 to 15 years. The mode of injury, type of fracture, associated injuries, morbidity and mortality, and out-come were retrospectively analyzed. The majority of injuries were from automobile-pedestrian collisions (81.0%). the Torode and Zieg type IV injury had the greatest morbidity, mortality, and complications. sixteen patients had non-orthopedic, associated injuries and fourteen required blood transfusions within initial 48 hours after injury. Two of them passed away due to hematologic unstableness. Twenty patients were managed by conservative method, except for one operative case by using of an external fixation device. This study included only 13 cases had average 1 year of follow-up. One acetabular dysplasia of 5 acetabular fractures was found at 12 months after injury. The nonoperative approach for the pelvic bone injury has had a satisfactory outcome in our hospital. so, authors think that if conservative methods will be properly applied, it may be one of the methods of treatment for the children's pelvic bone fracture. Even though there is no symptoms, long-term follow-up will be inevitable for checking more severe acetabular dysplasia and leg length discrepancy.
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