成人卡萨巴赫-梅里特现象的麻醉处理：病例报告
Anesthestic management of Kassabach-Meritt Phenomenon in an adult: case report.
作者信息
Elkoundi Abdelghafour, Samali Mehdi, Kartite Noureddine, Tbouda Mohammed, Bensghir Mustapha, Haimeur Charki
机构信息
Department of Anesthesiology and Intensive Care, Military Hospital Mohamed V of Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohamed V-Souissi, Rabat, Morocco.
Department of Anatomopatholgy, Military Hospital Mohamed V of Rabat, Faculty of Medicine and Pharmacy of Rabat, University Mohamed V-Souissi, Rabat, Morocco.
出版信息
BMC Anesthesiol. 2016 Nov 9;16(1):109. doi: 10.1186/s12871-016-0278-y.
BACKGROUND
Kasabach-Merritt phenomenon (KMP) is characterized by a vascular tumor with profound thrombocytopenia and consumptive coagulopathy that may presents significant challenges for anesthesiologist.
CASE PRESENTATION
An 87-year-old man presented with kaposiform hemangioendothelioma involving the right leg in critical condition due to massive bleeding. Hematology investigations indicated the presence of KMP. Association of this type of tumor with KMP in adults has never been reported.
CONCLUSION
The present case report lays an emphasis on the potential difficulties during anesthetic management of this rare condition.
背景
卡萨巴赫-梅里特现象（KMP）的特征是血管肿瘤伴有严重血小板减少和消耗性凝血病，这可能给麻醉医生带来重大挑战。
病例介绍
一名87岁男性因右腿卡波西样血管内皮瘤伴大量出血而病情危急。血液学检查显示存在KMP。这种类型的肿瘤与成人KMP的关联此前从未有过报道。
结论
本病例报告强调了这种罕见病症麻醉管理中可能存在的困难。
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