Ichikawa H, Hamada Y, Ishikawa S, Tsuda K, Yoshida I, Takahashi T, Morishita Y
Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan.
Nihon Geka Gakkai Zasshi. 1994 Jan;95(1):44-7.
A 68-year-old man who had abdominal aortic aneurysm (AAA) associated with idiopathic thrombocytopenic purpura (ITP) and consumption coagulopathy was successfully operated upon. The count of platelet was improved from 1.4 x 10(4)/microL to 8.0 x 10(4)/microL by the preoperative treatment with gamma-globulin (400mg/kg/day for 5 days) and heparin sodium (10000-15000 unit/day). Abdominal aortic aneurysm was replaced with a Y-shaped knitted Dacron graft, and splenectomy was performed for ITP. No severe hemorrhagic diathesis was encountered during and after the operation. This is the first report of surgical treatment of AAA associated with ITP and consumption coagulopathy.
一名68岁男性患者，患有腹主动脉瘤（AAA）并伴有特发性血小板减少性紫癜（ITP）和消耗性凝血病，成功接受了手术。术前通过使用丙种球蛋白（400mg/kg/天，共5天）和肝素钠（10000 - 15000单位/天）治疗，血小板计数从1.4×10⁴/微升提高到了8.0×10⁴/微升。用Y形针织涤纶移植物置换腹主动脉瘤，并对ITP进行了脾切除术。手术期间及术后未出现严重的出血素质。这是关于与ITP和消耗性凝血病相关的AAA手术治疗的首例报告。
