| Item type |
☆紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2018-01-19 |
| タイトル |
|
|
タイトル |
<Case Reports> Control of the platelet count for emergency ascending aortic repair in a patient with idiopathic thrombocytopenic purpura. |
|
言語 |
en |
| 著者 |
Kaneda, Kozo
Nagasaka, Shigeo
Nagato, Hisao
Niwa, Kosuke
Yokoyama Shinya
Nishiwaki, Noboru
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
idiopathic thrombocytopenic purpura, platelet, heart surgery |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 著者 所属 |
|
|
値 |
Department of Cardiovascular Surgery, Nara Hospital, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Cardiovascular Surgery, Nara Hospital, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Cardiovascular Surgery, Nara Hospital, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Cardiovascular Surgery, Nara Hospital, Kindai University Faculty of Medicine |
| 著者 所属 |
|
|
値 |
Department of Thoracic and Cardiovascular Surgery, Nara, Medical University |
| 著者 所属 |
|
|
値 |
Department of Cardiovascular Surgery, Nara Hospital, Kindai University Faculty of Medicine |
| 版 |
|
|
出版タイプ |
NA |
|
出版タイプResource |
http://purl.org/coar/version/c_be7fb7dd8ff6fe43 |
| 出版者 名前 |
|
|
出版者 |
Kindai University Medical Association |
| 書誌情報 |
en : ACTA MEDICA KINDAI UNIVERSITY
巻 42,
号 2,
p. 63-65,
発行日 2017-12
|
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
03866092 |
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
[Abstract] We report an acute type A dissection case with refractory idiopathic thrombocytopenic purpura (ITP). A 72-year-old woman treated as ITP patient, whose platelet count was decreased to 2,000/mm3, was transfered to our institute, due to the acute Stanford A aortic dissection complicated with pericardial effusion. She was treated with high-dose γ-globulin therapy (HDGT) and platelet transfusion immediately after admission under pulse steroid therapy. Her platelet count was recovered to 47,000/mm3 36 hours after the onset of acute dissection while maintaining lower systemic blood pressure. Then, we decided to perform ascending aortic replacement. HDGT and platelet transfusion were continued during the operation. The replacement was completed without hemostatic problems, maintaining the platelet count at >50,000/mm3. HDGT and platelet transfusion should be started as soon as possible after the urgency of the operation of ITP patients become apparent. The operation must be performed promptly without hesitation. |
AA0050842X-20171200-0063.pdf (500.9 kB)
