輸血拒否により高度の貧血で死亡した再生不良性貧血

書誌事項

タイトル別名
  • An Aplastic Anemia Patient Died of Severe Anemia who Refused Transfusion
  • ユケツ キョヒ ニ ヨリ コウド ノ ヒンケツ デ シボウ シタ サイセイ フリョウセイ ヒンケツ

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抄録

A 41-year-old woman who had been given a diagnosis of aplastic anemia 14 years before was admitted because of recurrence of the disease. Despite therapy, the anemia progressed gradually. The patient refused blood product transfusions for religious reasons. Angina pectoris-like chest pain without ischemic changes on electrocardiograms appeared at a hemoglobin concentration (Hb) of 1.6 g/dl. The patient died of heart failure at Hb 1.5 g/dl. Autopsy showed enlargement of the heart, fatty changes in the myocardium and liver due to chronic hypoxia, and no changes in coronary arteries.

収録刊行物

  • 臨床血液

    臨床血液 41 (1), 65-67, 2000

    一般社団法人 日本血液学会

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