Journal of The Showa Medical Association
Online ISSN : 2185-0976
Print ISSN : 0037-4342
ISSN-L : 0037-4342
THE ANESTHETIC CONTROL OF CASES WHICH HAVE HEMORRHAGIC INCIDENT CASED ON THROMBOCYTOPENIA
Michiko YAMADAShohei TAKEDAKen-ichi KAGAMIKimio HONDA
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1980 Volume 40 Issue 5 Pages 629-633

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Abstract
We experienced the anesthetic control of two cases which had the thrombocytopenia and tendency of bleeding because of the Kasabach-Merritt syndrome and juvenile liver cirrhosis. The former underwent operation of tumor extirpation successfully after the careful preoperative management. The latter was controlled with general anesthesia without improvement of platelet counts, becuase this case was intended to undergo hepatic angiography which was said to be a safety technique, but we encountered with intratrachial bleeding at intubation. Therefore, we obliged to exchange the anesthetic method.
Thus, we realized keenly that the case which had a tendency of bleeding needed satisfactorily preoperative management and careful anesthetic control.
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