舌部分切除術を施行した抗凝固療法中の舌癌患者の1例

DOI 被引用文献3件 参考文献15件
  • 玉置 盛浩
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 今井 裕一郎
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 館林 茂
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 山中 康嗣
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 川上 正良
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 大儀 和彦
    Department of Oral and Maxillofacial Surgery, Nara Medical University
  • 桐田 忠昭
    Department of Oral and Maxillofacial Surgery, Nara Medical University

書誌事項

タイトル別名
  • A case of tongue carcinoma with anticoagulation therapy treated by partial glossectomy

この論文をさがす

抄録

We report a case of a management of anticoagulation with heparin in patients with tongue carcinoma (T3N0M0). A 66-year-old female was referred to our hospital with a complaint of an ulcer of the left border of the tongue. She had received the mitral and tricuspid valve replacement surgery after a diagnosis of their valve closure and stenosis at the age of 49. Warfarin at 2.5mg/day and Panaldine at 100mg/day was admimistrated for her anticoagulation. She had complicated with atrial fibration and a high risk of a thrombus formation at the replaced valves in a short time of increased coagulation.<BR>Seven days preoperatively, Warfarin administrated her was changed to heparin, there after it was stopped to 6 hours prior to the glossectomy. After two hours the heparin was restarted with 500 units/hr and replaced to Warfarin. We successfully managed her without bleeding and clotting when heparin sodium was administered in an ACT range of 130-150 seconds.<BR>We experienced that the replacement of Warfarin to the heparin provided good perioperative management to ACT against the patient with anticoagulation.

収録刊行物

  • 有病者歯科医療

    有病者歯科医療 11 (3), 179-186, 2002

    一般社団法人 日本有病者歯科医療学会

被引用文献 (3)*注記

もっと見る

参考文献 (15)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ