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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 01 Acta medica et biologica
  4. Vol.48 No.1

A Case Report of Successful Conservative Management of Postoperative Massive Hemorrhage Based on AKBR after Living Related Liver Transplantation

http://hdl.handle.net/10191/1837
http://hdl.handle.net/10191/1837
ba40b665-c344-44ee-ad0e-9b33d69475e1
名前 / ファイル ライセンス アクション
KJ00000007244.pdf KJ00000007244.pdf (2.3 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2007-05-10
タイトル
タイトル A Case Report of Successful Conservative Management of Postoperative Massive Hemorrhage Based on AKBR after Living Related Liver Transplantation
タイトル
言語 en
タイトル A Case Report of Successful Conservative Management of Postoperative Massive Hemorrhage Based on AKBR after Living Related Liver Transplantation
言語
言語 eng
キーワード
主題Scheme Other
主題 Liver transplantation
キーワード
主題Scheme Other
主題 postoperative hemorrhage
キーワード
主題Scheme Other
主題 AKBR
キーワード
主題Scheme Other
主題 hepatorenal syndrome
キーワード
主題Scheme Other
主題 reoperation
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
著者 SATO, Yoshinobu

× SATO, Yoshinobu

WEKO 52438

SATO, Yoshinobu

Search repository
YAMAMOTO, Satoshi

× YAMAMOTO, Satoshi

WEKO 52439

YAMAMOTO, Satoshi

Search repository
NISHIMURA, Jun

× NISHIMURA, Jun

WEKO 52440

NISHIMURA, Jun

Search repository
NABATAME, Nobuyuki

× NABATAME, Nobuyuki

WEKO 52441

NABATAME, Nobuyuki

Search repository
TSUNODA, Kazuhiko

× TSUNODA, Kazuhiko

WEKO 52442

TSUNODA, Kazuhiko

Search repository
WAKAI, Toshifumi

× WAKAI, Toshifumi

WEKO 52443

WAKAI, Toshifumi

Search repository
WATANABE, Takaoki

× WATANABE, Takaoki

WEKO 52444

WATANABE, Takaoki

Search repository
KUROSAKI, Isao

× KUROSAKI, Isao

WEKO 52445

KUROSAKI, Isao

Search repository
SHIRAI, Yoshio

× SHIRAI, Yoshio

WEKO 52446

SHIRAI, Yoshio

Search repository
HATAKEYAMA, Katsuyoshi

× HATAKEYAMA, Katsuyoshi

WEKO 52447

HATAKEYAMA, Katsuyoshi

Search repository
抄録
内容記述タイプ Abstract
内容記述 We encountered an early postoperative intra-abdominal massive hemorrhage of above 500ml/hour in a patient having undergone living related liver transplantation for subacute liver failure. Typically, re-exploration would be carried out; however, we successfully managed this patient using conservative procedures. The massive hemorrhage was initially accompanied by a decrease in arterial ketone bodies ratio (AKBR). However, the AKBR then increased rapidly due to blood transfusion. We therefore decided to wait before proceeding with more active measures, though renal function was aggrevated by the bleeding, resulting in anuria. Then, although a second massive hemorrhage occurred, the AKBR did not decrease. Therefore we decided again to wait. Following this, diuretics were seen to gradually increase, and thereafter the intraabdominal hemorrhage ceased rapidly with a surprising increase in urine volume. Renal function was rapidly restored. The decision to proceed with an urgent operation for postoperative massive hemorrhage in patients having undergone liver transplantation is problematic due to the complexity of the patient's situation and the trauma of the initial operation. In this case, the bleeding was considered to originate from the vena cava or cut margin of the graft. Therefore we thought that if the grafted liver's function was restored, clotting would be restored. The AKBR mirrored both the postoperative graft liver function during the hemorrhage and the graft function after therapy. AKBR might play a useful role in the decision-making process regarding the re-exploration of postoperative hemorrhage and the procedures of the operation.
書誌情報 Acta medica et biologica
en : Acta medica et biologica

巻 48, 号 1, p. 39-43, 発行日 2000-03
出版者
出版者 Niigata University School of Medicine
ISSN
収録物識別子タイプ ISSN
収録物識別子 05677734
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA00508361
著者版フラグ
値 publisher
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