免疫グロブリンの術前大量投与が有用であった，特発性血小板減少性紫斑病を合併した肺癌の１切除例

DOI 被引用文献1件 参考文献8件

書誌事項

タイトル別名
  • Successful operation for lung cancer patient with idiopathic thrombocytopenic purpura by preoperative high-dose intravenous gammaglobulin. A case report.

この論文をさがす

抄録

A 72-year-old woman with persistent idiopathic thrombocytopenic purpura visited our hospital because of an abnormal shadow on chest computed tomographic scan which showed a ground glass attenuation located in the S3 suggesting well differentiated adenocarcinoma of the lung. Because marked thrombocytopenia (0.9×104/mm3) was found on admission, we did not perform transbronchial lung biopsy or transthoracic needle biopsy for definitive diagnosis to avoid severe bleeding. After platelet counts increased to 8.8×104/mm3 following Preoperative high dose intravenous gammaglobulin therapy (400 mg/kg/day for 5 days), right upper lobectomy could be done with minimal blood loss. There were no postoperative complications such as bleeding. Preoperative high dose intravenous gammaglobulin therapy is useful in the lung cancer patient with idiopathic thrombocytopenic purpura to maintain a sufficient platelet count for achieving an uneventful course during the perioperative period.

収録刊行物

被引用文献 (1)*注記

もっと見る

参考文献 (8)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ