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간경화를 가지고 있는 여호와의 증인 환자의 수술 중 실혈관리를 위한 Tranexamic Acid와 Hemocoagulase의 동반 사용 예

Successful Intraoperative Management to Minimize Blood Loss Using the Combination of Tranexamic Acid and Hemocoagulase for Jehovah’s Witnesses Patient with Liver Cirrhosis

Soonchunhyang Medical Science 2020년 26권 2호 p.119 ~ 122
유재화, 김건태, 오홍철,
소속 상세정보
유재화 ( Yoo Jae-Hwa ) - Soonchunhyang University Seoul Hospital Department of Anesthesiology and Pain Medicine
김건태 ( Kim Geon-Tae ) - Soonchunhyang University Seoul Hospital Department of Anesthesiology and Pain Medicine
오홍철 ( Oh Hong-Chul ) - Soonchunhyang University Seoul Hospital Department of Thoracic and Cardiovascular Surgery

Abstract


A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In addition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respectively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.

키워드

Hemocoagulase; Jehovah’s Witnesses; Tranexamic acid

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