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題名 | Disseminated Intravascular Coagulation in a Stage Ⅳ Colon Cancer Patient: Report of a Case and Review of the Literature=第四期大腸癌病人發生瀰漫性血管內凝集:案例報告及文獻回顧 |
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作 者 | 郭立人; 呂樹炎; 劉美瑾; 陳宗明; | 書刊名 | 臺灣外科醫學會雜誌 |
卷期 | 36:4 民92.07-08 |
頁次 | 頁188-192 |
分類號 | 416.245 |
關鍵詞 | 大腸癌; 瀰漫性血管內凝集; Disseminated intravascular coagulation; Colorectal cancer; Deep vein thrombosis; |
語文 | 英文(English) |
英文摘要 | Approximately 20% of patients with colorectal carcinoma are initially seen with stage IV of the disease. Here, we report a 45-year-old female patient with synchronous sigmoid colon cancer and multiple liver metastases. She underwent a palliative anterior resection and hepatic arterial infusion pump implantation. Left lower leg swelling developed four days after the operation and then shortness of breath was noted. Emergency lower extremity duplex ultrasound study proved the presence of left deep venous thrombosis. Chest helical computed tomography showed bilateral pulmonary arterial thromboembolism. Laboratory tests revealed a rapid decline in platelet counts and fibrinogen level, and the presence of fibrin-degradation products in plasma. Under the impression of disseminated intravascular coagulation, systemic heparinization with low-molecular-weight heparin was employed. Clinically speaking, the patient improved gradually with rise of platelet counts to the normal range several days later. |
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