<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912017000600386</article-id>
<article-id pub-id-type="doi">10.18233/apm38no6pp386-3931506</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lesión pulmonar aguda tras transfusión de concentrado de hematíes en el paciente pediátrico. Presentación de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Transfusion related acute lung injury in paediatric patients. Case report and review of the literature]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Caballero-Macarrón]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno-Jiménez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coca-Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Martínez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tenorio-Núñez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Stanescu]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tapia-Moreno]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Martín]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ramón y Cajal, Madrid, España.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ramón y Cajal, Madrid, España.  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>38</volume>
<numero>6</numero>
<fpage>386</fpage>
<lpage>393</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912017000600386&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912017000600386&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912017000600386&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La lesión pulmonar aguda (LPA) relacionada con la transfusión TRALI (transfusion related acute lung injury) se define como una lesión pulmonar que se desarrolla durante o dentro de las primeras seis horas post-transfusionales, con una PaO2/FiO2 igual o menor de 300 mmHg, en ausencia de edema pulmonar cardiogénico, o de otro factor de riesgo de LPA. Es una complicación subestimada en niños enfermos críticamente debido a que se asocia los síntomas a la enfermedad de base, siendo la causa principal de muerte relacionada con la transfusión. Presentamos un caso de TRALI grave en un niño durante la transfusión de un concentrado de hematíes, procedente de una donadora multípara, en una Unidad de Cuidados Intensivos Pediátricos, con resultado favorable. El tratamiento es de soporte en función de la gravedad del cuadro clínico y la prevención se centra en tres estrategias: selección de donantes, actuación sobre el almacenamiento de los productos hemáticos y evitar las transfusiones innecesarias. Es importante incluir casos pediátricos de TRALI en la literatura médica para avanzar en la comprensión de esta complicación transfusional en los niños.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Transfusion related acute lung injury (TRALI) is characterized by the onset of acute noncardiogenic pulmonary oedema within the first six hours following transfusion of blood products. The overall incidence seems underestimated in critically ill children, considering that the symptoms could be overlapping with the underlying disease. It is a serious complication and it is considered the major cause of transfusion-related death. The therapy is supportive and the prevention focuses in three major points: donor selection, the suitable storage of blood products and avoid unnecessary transfusions. We present a case of severe TRALI in a child following packed red blood cells transfusion from a multiparous woman donor. It is mandatory to report TRALI paediatric cases in order to understand the outcome in children.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lesión pulmonar aguda causada por transfusión (TRALI)]]></kwd>
<kwd lng="es"><![CDATA[transfusión sanguínea]]></kwd>
<kwd lng="es"><![CDATA[reacción transfusional]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[transfusion related acute lung injury]]></kwd>
<kwd lng="en"><![CDATA[blood transfusion complication]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
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