ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
Volume 57, Issue 3
Displaying 1-15 of 15 articles from this issue
ARTICLES
Case report
  • Yoshiaki YAMAMOTO, Naozumi MITSUNO, Toshiko IWASHITA
    2005 Volume 57 Issue 3 Pages 279-283
    Published: 2005
    Released on J-STAGE: September 30, 2005
    JOURNAL RESTRICTED ACCESS
    This report describes the case of a patient who died of serious heparin-induced thrombocytopenia (HIT) associated with thrombosis after surgery for endometrial cancer of the uterus. After the initial surgery, she had to have another operation the following day due to the incidence of intraperitoneal bleeding. Despite the accompanying atrial fibrillation, an ordinary recovery course was observed. On the 14th day after the second operation, however, unexpectedly thrombocytopenia and multi-organ failure became apparent. Suspecting disseminated intravascular coagulation (DIC), subsequent blood anticoagulation was applied, but the patient died the following day. Results of the anti-heparin PF4 complexes test and the platelet aggregation test using her frozen serum revealed that the incidence of HIT in this case was due not to the danaparoid sodium used for the treatment, but a small amount of heparin sodium present in the vessel catheter used for the prevention of blood coagulation. Since heparin sodium is widely employed by many Japanese gynecologists and obstetricians, they should be aware of the fact that even a very small quantity of heparin sodium can invite such undesirable consequences. [Adv Obstet Gynecol, 57 (3) : 279-283, 2005 (H17.8)]
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  • Takahisa USHIROYAMA, Sakura NOSAKA, Kou SAKUMA, Minoru UEKI
    2005 Volume 57 Issue 3 Pages 284-291
    Published: 2005
    Released on J-STAGE: September 30, 2005
    JOURNAL RESTRICTED ACCESS
    A postmenopausal woman, presented with complaints of general fatigue, malaise, feeling of loss of energy and powers of concentration, anxiety, and palpitation was treated both medically and by psychotherapy including Buddhist psychology.
    She has a compulsive character, tends to be self-sacrificing, and is alexithymic. She had negative feelings toward her father because of problems in her relationship with him when she was a child. Against this background, she developed depression caused by her younger son's death and responsibilities related the perpetual religious ceremonies. As her depression did not respond to various types of pharmacotherapy, it seemed psychosomatic therapy was required. Psychotherapy incorporating Buddhist psychology was performed together with medical treatment. After the treatment for two months, she realized that she had ‘negative feelings towards her father and that she was greatly obsessed with them. Her way of thinking started to become very positive. After one year of treatment, she was able to accept her mental and physical conditions ‘as they were' and perceive negative realities as positive by changing her way of looking at things. Her symptoms improved rapidly and her quality of life improved.
    In the treatment of menopausal women with undefined symptoms, who continually experience mental stress but do not have good skills to cope with it, incorporating Buddhist doctrines into psychotherapy can enable breakthroughs in treatment and improve quality of life. [Adv Obstet Gynecol,57(3): 284-291, 2005(H17.8)]
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OPINIONS
Clinical view
Current topic
TRANSACTION of SECTIONAL MEETINGS
Perinatology (in the 111th Meeting of the OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN)
"Venous thromboembolism in obstetrics "
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