特発性血小板減少性紫斑病を合併した出血を伴った早期胃癌の1例

• 星野 澄人

  厚生連昭和病院外科

• 所 隆昌

  厚生連昭和病院外科

• 阪井 満

  厚生連昭和病院外科

• 大河内 治

  厚生連昭和病院外科

• 越川 克己

  厚生連昭和病院外科

• 村岡 暁憲

  厚生連昭和病院外科

• 伊藤 洋一

  厚生連昭和病院外科

• 吉田 孝

  厚生連昭和病院外科

書誌事項

タイトル別名

• A PATIENT WITH EARLY GASTRIC CANCER COMPLICATED BY IDIOPATHIC THROMBOCYTOPENIC PURPURA SHOWING HEMORRHAGE

抄録

A 43-year-old female with gastric cancer complicated by idiopathic thrombocytopenic purpura (ITP) showing hemorrhage preoperatively received some treatment for the improvement of anemia and high dose immunoglobulin therapy. The platelet count slightly increased from 0.8×10⁴/mm³to 4.2×10⁴/mm³ but was still inadequate for a complete surgery. Therefore, after platelet transfusion, total gastrectomy, D₂ lymph node dissection, and splenectomy for ITP were performed. The amount of hemorrhage during the surgery was 767g, but she was discharged from the hospital without postoperative complications. She is now being treated on an outpatient basis, but the platelet count is kept at about 3×10⁴/mm³, indicating no effects of splenectomy.<br> High dose immunoglobulin therapy for ITP is useful for temporarily increasing platelets. However, a minimum platelet count that allows surgery is not always obtained. Adjunctive methods such as platelet transfusion are necessary in addition to careful consideration of surgical methods.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 56 (5), 980-984, 1995

  日本臨床外科学会

キーワード

• 特発性血小板減少性紫斑病
• 免疫グロブリン大量療法
• 早期胃癌

詳細情報

• CRID: 1390001205314331648
• NII論文ID: 130003599632
• NII論文ID: 10008513356
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.56.980
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/56/5/56_5_980/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1996002805
• データソース種別:
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  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可