查詢結果分析
來源資料
相關文獻
- Dissecting Aortic Aneurysm Complicated with Acute Disseminated Intravascular Coagulation: Case Report
- 新外科手術法的成果:長庚經驗
- Surgical Treatment of Acute Type a Aortic Dissection with an Intraluminal Sutureless Graft
- 剝離性主動脈瘤
- 照護一位腹主動脈瘤術後病人之加護經驗
- Fatal Hemoptysis in Dissecting Aortic Aneurysm and Salmonellosis: A Case Report
- 照護一位主動脈瘤手術後病人之加護護理經驗
- 胸、腹主動脈瘤微創治療新趨勢--支架血管治療主動脈瘤
- 腹主動脈瘤合併剝離性主動脈瘤
頁籤選單縮合
題 名 | Dissecting Aortic Aneurysm Complicated with Acute Disseminated Intravascular Coagulation: Case Report=剝離性主動脈瘤合併急性散播性血管內血液凝固:病例報告 |
---|---|
作 者 | 郭明宗; 鄧波; 王博南; 謝宏昌; 洪建福; | 書刊名 | 長庚醫學 |
卷 期 | 22:1 1999.03[民88.03] |
頁 次 | 頁138-142 |
分類號 | 416.263 |
關鍵詞 | 剝離性主動脈瘤; 急性散播性血管內血液凝固; Dissecting aortic aneurysm; Acute disseminated intravascular coagulation; |
語 文 | 英文(English) |
中文摘要 | 剝離性主動脈瘤引起之血液凝固障礙(coagulopathy)乃一少見的情況,而且大 部分的病例是以慢性散播性血管內血液凝固( disseminated intravascular coagulation )表現,以急性散播性血管內血液凝固為表現者則非常罕見。本文報告一名 88 歲男性,於 住院數天前發生皮膚多處瘀血及上肢腫脹,住院後發現其右下腹部有一鼓動性瘤狀物。實驗 室檢查呈現出貧血、血小板減少、凝血功能試驗異常以及纖維蛋白原( fibrinogen )減少 。電腦斷層攝影發現其腹部有一巨大之剝離性主動脈瘤,因此推測可能是剝離性主動脈瘤引 起之急性散播性血管內血液凝固。 病人之後接受血液成分輸注及靜脈肝素( heparin )之 注射,其凝血功能試驗異常情形獲得明顯的改善而且纖維蛋白原( fibrinogen )亦回升。 之後,病人成功的接受主動脈瘤切除並接予人工血管,手術時並無大量出血,術後其凝血功 能試驗幾乎完全正常。因此,老年人發生急性散播性血管內血液凝固時,當排除感染及惡性 腫瘤後,剝離性主動脈瘤應列入鑑別診斷。手術將主動脈瘤切除仍然是根本改善急性散播性 血管內血液凝固的方法。但是術前血液凝固的異常現象必須事先以血液成分輸注或靜脈肝素 注射加以改善,以免造成手術時大量出血而危及患者生命安全。 |
英文摘要 | Acute disseminated intravascular coagulation (DIC) is a rare complication of aortic aneurysm with or without dissection. We describe an 88-year-old man who presented with severe hemorrhagic diathesis and a pulsating abdominal mass. An abdominal computed tomography (CT) scan revealed a dissecting abdominal aortic aneurysm with thrombus formation, and his coagulation profile showed the features of acute DIC. After he had received blood component therapy, including fresh frozen plasma and cryoprecipitate concentrates, and intravenous heparin infusion (10, 000 U/day), the bleeding diathesis and coagulopathy improved. An aneurysmectomy was performed smoothly without excessive bleeding. Coagulation parameters returned to normal after surgery. Dissecting aortic aneurysm should be considered as a possible etiology of acute disseminated intravascular coagulation, even it occurs in rare situations. Surgical intervention is still the main strategy to normalize coagulopathy. Bleeding diathesis must be corrected before surgery in order to prevent massive intraoperative bleeding. |
本系統中英文摘要資訊取自各篇刊載內容。