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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.50 (2004) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/153
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| タイトル: | A surgical case of aortic valve replacement in patient with chronic idiopathic thrombocytopenic purpura |
| その他のタイトル: | AVR in the patient with ITP |
| 著者: | Sato, Yoichi
Yokoyama, Hitoshi
Watanabe, Masaaki
Hamada, Osami |
| 学内所属: | 心臓血管外科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 50 |
| 号: | 1 |
| 開始ページ: | 29 |
| 終了ページ: | 35 |
| 発行日: | 2004年6月 |
| 抄録: | A 64-year-old man was presented to another hospital with bleeding from the upper jaw with a platelet count of 0.1 x 10(4)/microl one year ago, and idiopathic thrombocytopenic purpura complicated with aortic stenosis and regurgitation was diagnosed. Corticosteroid administration was initiated and the patient was admitted to our hospital for surgery two months after confirmation of symptoms associated with cerebral ischemia. Corticosteroid was administered for one year until the day of surgery, and aortic valve replacement was performed with a platelet count of 8.4 x 10(4)/microl. During surgery, bleeding tendency with decreased platelets was confirmed, which was corrected with intraoperative platelet transfusion, postoperative gamma-globulin administration, and postoperative oral corticosteroid administration. Caution must be exercised against perioperative bleeding tendency in open heart surgery, even when platelet count is maintained using small amounts of preoperative corticosteroid. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/153 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/153/1/FksmJMedSci_50_p29.pdf |
| ISSN: | 0016-2590 |
| DOI: | 10.5387/fms.50.29 |
| PubMed番号: | 15536888 |
| 関連ページ: | https://doi.org/10.5387/fms.50.29 |
| 権利情報: | © 2004 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.50 (2004)
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