Successful G-CSF Therapy for Neutropenia after Septic Shock due to a Traumatic Ileal Rupture. A Case Report.

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  • FUJIKAWA Namika
    Department of Surgery, National Citizens Health Center of Ueki Municipality
  • HANADA Norihisa
    Department of Surgery, National Citizens Health Center of Ueki Municipality
  • AKAMINE Tomiharu
    Department of Surgery, National Citizens Health Center of Ueki Municipality
  • TAGAMI Hirofumi
    Department of Surgery, National Citizens Health Center of Ueki Municipality
  • TORIGOE Yoshitsugu
    Department of Surgery, National Citizens Health Center of Ueki Municipality

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  • 著明な好中球減少をきたした外傷性小腸断裂症例にＧ‐ＣＳＦが奏効した１例

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Abstract

An 82-year-old man was admitted to the hospital after a traffic accident. On the next day, abdominal X-ray films demonstrated the presence of free air, and an emergency operation was performed under a diagnosis of traumatic perforation of the alimentary tract. During surgery, a ruptured region of the ileum was recognized and a partial resection of the ileum about 30cm in length with end-to-end anastomosis was performed. A remarkable decrease of neutrophil and septic shock developed perioper-atively. On administering of G-CSF immediately after the operation, the patient recovered from critical condition, and white blood cells increased in a few hours. G-CSF therapy should be tried for serious infection with neutropenia like in this case.

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