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一名患有乙型血友病(又称克里斯马斯病)患者的冠状动脉搭桥术。病例报告。

Coronary bypass in a patient with hemophilia B, or Christmas disease. Case report.

作者信息

Tourbaf K D, Bettigole R E, Zizzi J A, Subramanian S, Andersen M N

出版信息

J Thorac Cardiovasc Surg. 1979 Apr;77(4):562-9.

PMID:311396
Abstract

A 40-year-old patient with moderate factor IX deficiency (Christmas disease) underwent quadruple saphenous vein coronary bypass grafts for angina and severe coronary atherosclerosis involving the left and right main, left anterior descending, and circumflex coronary arteries. Excessive bleeding was prevented by infusion of factor IX concentrates during and after the operation. The surgical procedure and total body perfusion were carried out in the same manner as in patients without a hemorrhagic disorder. The patient was discharged after 13 days of hospitalization. He is doing well at the time of this publication and has returned to work.

摘要

一名40岁的中度IX因子缺乏(克里斯马斯病)患者因心绞痛和严重冠状动脉粥样硬化累及左、右冠状动脉主干、左前降支和左旋支,接受了四重隐静脉冠状动脉搭桥术。手术期间和术后通过输注IX因子浓缩物防止了出血过多。手术过程和全身灌注的方式与无出血性疾病的患者相同。患者住院13天后出院。在本出版物发表时,他情况良好,已重返工作岗位。

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Coronary bypass in a patient with hemophilia B, or Christmas disease. Case report.一名患有乙型血友病(又称克里斯马斯病)患者的冠状动脉搭桥术。病例报告。
J Thorac Cardiovasc Surg. 1979 Apr;77(4):562-9.
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The effect of coronary reoperation on the survival of patients with stenoses in saphenous vein bypass grafts to coronary arteries.冠状动脉再次手术对冠状动脉大隐静脉旁路移植血管狭窄患者生存率的影响。
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引用本文的文献

1
Continuous infusion factor replacement in haemophilia B during and after cardiac surgery: the better choice?在心脏手术期间和之后,乙型血友病患者采用连续输注因子替代治疗:更好的选择?
BMJ Case Rep. 2020 Nov 30;13(11):e235859. doi: 10.1136/bcr-2020-235859.
2
Coronary artery bypass grafting in a patient with hemophilia B: continuous recombinant factor IX infusion as per the Japanese guidelines for replacement therapy.乙型血友病患者的冠状动脉搭桥术:按照日本替代疗法指南持续输注重组凝血因子IX
Gen Thorac Cardiovasc Surg. 2016 Aug;64(8):481-3. doi: 10.1007/s11748-014-0509-4. Epub 2014 Dec 19.
3
Myocardial infarction, other arterial thrombosis and invasive coronary procedures, in hemaophilia B: a critical evaluation of reported cases.
乙型血友病患者的心肌梗死、其他动脉血栓形成及侵入性冠状动脉手术:对报告病例的批判性评估
J Thromb Thrombolysis. 2005 Aug;20(1):43-6. doi: 10.1007/s11239-005-2227-3.
4
Surgical correction of coarctation of the aorta and ventricular septal defect in an infant with inherited factor V deficiency.一名患有遗传性因子V缺乏症的婴儿的主动脉缩窄和室间隔缺损的外科矫正。
Pediatr Cardiol. 1983 Apr-Jun;4(2):169-70. doi: 10.1007/BF02076347.
5
Is major surgery in hemophiliac patients safe?血友病患者进行大手术安全吗?
World J Surg. 1987 Jun;11(3):378-86. doi: 10.1007/BF01658122.