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題名 | Absolute Ethanol Embolotherapy for Hemangioma with Kasabach-Merritt Syndrome=純乙醇栓塞治療合併Kasabach-Merritt症候群之血管瘤 |
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作者 | 楊曜旭; 李秉穎; 林凱信; 曾旭明; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 39:1 民87.01-02 |
頁次 | 頁51-54+72 |
分類號 | 417.5641 |
關鍵詞 | 血管瘤; Kasabach-Merritt症候群; 純酒精栓塞治療; Hemangioma; Kasabach-Merritt syndrome; Absolute ethanol embolotherapy; |
語文 | 英文(English) |
英文摘要 | This report describes a female baby having a hemangioma over the right thigh that had appeared as an irregular bruise since two days old. Severe thrombocytopenia, consumptive coagulopathy, anemia, and heart failure developed at three months old. With a diagnosis of Kasabach-Merritt syndrome, systemic corticosteroid, vincristine, subcutaneous α-interferon, and massive platelet transfusion were given. However, the platelet count remained low and the skin lesion enlarged gradually. Trans-feeding-arterial embolotherapy with a 5 ml pure ethanol ( 1 ml/kg ) injection was performed at four months of age. Thirty days later, her platelet count recovered and the hemangioma shrinked in size. This case illustrates that absolute ethanol embolotherapy is an effective treatment for hemangioma with Kasabach-Merritt syndrome and may be life-saving for those with lesions refractory to medical therapy. |
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