检索结果-南通市图书馆

Forearm compartment syndrome due to acquired hemophilia that required massive blood transfusions after fasciotomy:A case report

引用

World Journal of Clinical Cases 2021年第31期9卷 9592-9597页

作者： Takuya Kameda Takeru Yokota Soichi Ejiri Shin-ichi Konno Department of Orthopaedic Surgery Fukushima Medical UniversityFukushima 960-1295FukushimaJapan Department of Hand and Limb Reconstructive Surgery Fukushima Medical UniversityFukushima 960-1295FukushimaJapan

BACKGROUND acquired hemophilia is *** some cases,the bleeding in muscle causes compartment ***,it is not clear whether fasciotomy should be performed for the compartment syndrome caused by acquired hemophilia because of the risk of bleeding and the unknown functional *** SUMMARY A 75-year-old woman was admitted with severe pain of the right forearm with no preceding traumatic *** right forearm was obviously swollen,and stretch pain was *** hematomas were suspected in various parts of the *** pressure was 110 mmHg on the volar *** partial thromboplastin time(aPTT)was prolonged to 54.9 *** was performed,and hematoma was observed in the volar *** laboratory examinations revealed a low level of factor Ⅷ(FⅧ)activity(12.5%)and a high level of FⅧ inhibitor(15.2 bethesda units/mL).acquired hemophilia A was *** recombinant clotting factors were administered,transfusion of red blood cells reached 46 units(140 mL/unit).Hemostasis was achieved 9 d after *** total cost of the clotting factor concentrates administered reached 28834600 *** prednisolone,FⅧ activity and aPTT recovered *** function of the hand was good in the index finger and excellent in the *** Fasciotomy resulted in good function of the hand in a case of non-traumatic compartment syndrome caused by acquired hemophilia,but life-threatening bleeding occurred,and the cost of clotting factor treatment was *** of sufficient blood transfusion,preoperative administration of recombinant activated clotting factor Ⅶ,and prompt fasciotomy could be ideal for such cases.

关键词： acquired hemophilia Compartment syndrome Fasciotomy Bleeding Cost Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：