血小板減少による出血性素因を有する患者の麻酔経験

概要

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We experienced the anesthetic control of two cases which had the thrombocytopenia and tendency of bleeding because of the Kasabach-Merritt syndrome and juvenile liver cirrhosis. The former underwent operation of tumor extirpation successfully after the careful preoperative management. The latter was controlled with general anesthesia without improvement of platelet counts, becuase this case was intended to undergo hepatic angiography which was said to be a safety technique, but we encountered with intratrachial bleeding at intubation. Therefore, we obliged to exchange the anesthetic method.<BR>Thus, we realized keenly that the case which had a tendency of bleeding needed satisfactorily preoperative management and careful anesthetic control.
学校法人昭和大学・昭和医学会の論文