@article{oai:niigata-u.repo.nii.ac.jp:00021256,
 author = {吉川, 恵次 and 佐藤, 一範},
 issue = {11},
 journal = {新潟医学会雑誌, 新潟医学会雑誌},
 month = {Nov},
 note = {T. K., a 16-year-old male high school student had a severe pelvic fracture with ileal and mesenterial injuries by an automobile accident. Prolonged shock during the early post-injury period was observed and massive blood transfusion was required to maintain his vital signs. Hemostasis was eventually gained after the transcatheter arterial embolization (lt-superior gluteal A. ), followed by the formation of the extensive retroperitoneal, groin, and scrotal hematomas. Hyperbilirubinemia became evident on the 5th postoperative day (POD) with the peak bilirubin level of 17.8mg/dl occuring on 12POD. At this point, conjugated bilirubin comprised 83% of the total serum bilirubin. Moderate elevation of serum alkaline phosphatase values was ovserved associated with the hyperbilirubinemia, while only slight increase of the serum GOT and GPT levels was seen. Severe hyperbilirubinemia in the present case was judged as the post-traumatic jaundice caused by the increased pigment load both from numerous transfusions and from extensive hematomas, and by the impaired hepatic excretory function.},
 pages = {765--772},
 title = {外傷後黄疸をきたした骨盤骨折の1例},
 volume = {105},
 year = {1991}
}