Читать книгу Complications in Equine Surgery - Группа авторов - Страница 108

Blood transfusion can be a necessary treatment for intraoperative or postoperative hemorrhage, but transfusion of blood products is not without risk. There are 8 recognized equine blood types with at least 30 different factors within 7 of these groups. There is no recognized “universal donor” and the incidence of adverse reactions to equine blood transfusion is much higher than the incidence for human transfusions. The reported incidence of transfusion reactions in horses transfused with whole blood or pRBCs is 16%, with a 2% incidence of fatal anaphylactic reaction [1]. Immune reactions may involve recipient antibodies to donor red blood cell (RBC) antigens, donor antibodies to recipient RBC antigens, or reactions to plasma proteins, white blood cells, or platelets. Nonimmune reactions can occur when there is excessive overall fluid volume administered or when blood is stored improperly. See Chapter 6: Complications of Fluid Therapy, for information about complications associated with plasma administration.