Oba J, Aoki H, Yoshida T, Kanaoka T, Oe K
Department of Cardiothoracic Surgery, Asahikawa City Hospital, Hokkaido, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Feb;48(2):129-31. doi: 10.1007/BF03218107.
Reports of a cardiac operation in a patient with idiopathic thrombocytopenic purpura are scarce. Here we present a case of successful mitral valve replacement in a patient with idiopathic thrombocytopenic purpura. Preoperative treatment with high-dosage gamma-globulin successfully increased the platelet count from 50,000/microliter to 80,000/microliter. Twenty units of platelet-rich plasma were administered during and after the operation. No other blood products were used. The postoperative convalescence was uneventful. Perioperative management for patients with idiopathic thrombocytopenic purpura undergoing open-heart surgery is discussed.
关于特发性血小板减少性紫癜患者进行心脏手术的报道很少。在此，我们报告一例特发性血小板减少性紫癜患者成功进行二尖瓣置换术的病例。术前使用高剂量丙种球蛋白治疗成功地将血小板计数从50,000/微升提高到80,000/微升。手术期间及术后给予20单位富含血小板血浆。未使用其他血液制品。术后恢复顺利。本文讨论了接受心脏直视手术的特发性血小板减少性紫癜患者的围手术期管理。
