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April 1947

PERITONEAL IRRIGATION FOR UREMIA FOLLOWING INCOMPATIBLE BLOOD TRANSFUSIONReport of a Case

Author Affiliations

DALLAS, TEXAS
From Baylor University Hospital.

Arch Surg. 1947;54(4):374-381. doi:10.1001/archsurg.1947.01230070382002
Abstract

PERITONEAL irrigation as a means of treating a patient with uremia resulting from acute renal damage following sulfathiazole therapy has been reported by Frank, Seligman and Fine.1 These same workers had previously observed the results of this technic on animals.2 Recently we utilized this method of peritoneal irrigation on a patient with uremia resulting from an incompatible blood transfusion. The procedure was effective and directly associated with improvement and subsequent recovery of the patient. The patient was not expected to survive, since grave sequelae of uremia existed. Moreover, certain complications related to the peritoneal irrigation were encountered. A report of the case therefore seems warranted.

REPORT OF A CASE  A white woman aged 36 years entered the hospital for a pelvic operation. A transfusion of whole blood was ordered prior to operation as a corrective measure for a moderate degree of anemia (red blood cell count 3,600,000 per

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