論文

査読有り
2008年2月

Anesthetic management of cesarean section in a patient with type II von Willebrand disease

Japanese Journal of Anesthesiology
  • Hiroyuki Ito
  • ,
  • Masaaki Satoh
  • ,
  • Norimasa Seo

57
2
開始ページ
203
終了ページ
205
記述言語
日本語
掲載種別
研究論文(学術雑誌)

von Willebrand disease is one of the inherited bleeding disorders, and caused by the deficiency or the abnormality of von Willebrand factor. A 28-year-old woman with von Willebrand disease (type II) was scheduled for cesarean section under general anesthesia. Platelet count was within normal limits. However, the prolongation of both APTT and bleeding time was confirmed. The level of von Willbrand factor was within normal ranges, but its activity was about 55%. The platelet aggregation was below 1.3%. We managed to administer factorVIII concentrate to her intravenously before and after operation. We did not perform epidural catheterization because we cannot forecast the amount of bleeding. We could successfully manage this case without any complications. Intravenous patient controlled analgesia was given for postoperative pain. The perioperative course was uneventful and the patient was discharged 7 days after the operation.

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/18277572
ID情報
  • ISSN : 0021-4892
  • PubMed ID : 18277572
  • SCOPUS ID : 39349114589

エクスポート
BibTeX RIS