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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/10191/1837ba40b665-c344-44ee-ad0e-9b33d69475e1
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
KJ00000007244.pdf (2.3 MB)
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| 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 | ||||||
| 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 | en | |||||
| 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 | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
SATO, Yoshinobu
× SATO, Yoshinobu× YAMAMOTO, Satoshi× NISHIMURA, Jun× NABATAME, Nobuyuki× TSUNODA, Kazuhiko× WAKAI, Toshifumi× WATANABE, Takaoki× KUROSAKI, Isao× SHIRAI, Yoshio× HATAKEYAMA, Katsuyoshi |
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| 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 |
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| 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 | |||||
