Severe autoimmune hemolytic anemia treated by paralysis, induced hypothermia, and splenic embolization

被引:9
作者
Campbell, R [1 ]
Marik, PE [1 ]
机构
[1] Univ Pittsburgh, Dept Crit Care Med, Pittsburgh, PA 15261 USA
关键词
autoimmune hemolytic anemia; hypothermia; liver transplantation; splenic embolization; ulcerative colitis;
D O I
10.1378/chest.127.2.678
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Autoimmune hemolytic anemia (AIHA) is the clinical condition in which IgG antibodies bind to RBC surface antigens and initiate RBC destruction via the complement and reticuloendothelial system. AIHA is commonly treated with transfusions, corticosteroids, and splenectomy. We present a case of an adult with life-threatening AIHA secondary to ulcerative colitis emergently managed with neuromuscular paralysis, induced hypothermia, and splenic embolization.
引用
收藏
页码:678 / 681
页数:4
相关论文
共 25 条
[1]  
Akpek G, 1999, AM J HEMATOL, V61, P98, DOI 10.1002/(SICI)1096-8652(199906)61:2<98::AID-AJH4>3.0.CO
[2]  
2-G
[3]   Energy expenditure in ischemic stroke patients treated with moderate hypothermia [J].
Bardutzky, J ;
Georgiadis, D ;
Kollmar, R ;
Schwab, S .
INTENSIVE CARE MEDICINE, 2004, 30 (01) :151-154
[4]   Prevention and management of overwhelming postsplenectomy infection - An update [J].
Brigden, ML ;
Pattullo, AL .
CRITICAL CARE MEDICINE, 1999, 27 (04) :836-842
[5]   Laparoscopic splenectomy in patients with hematologic diseases [J].
Flowers, JL ;
Lefor, AT ;
Steers, J ;
Heymann, M ;
Graham, SM ;
Imbembo, AL .
ANNALS OF SURGERY, 1996, 224 (01) :19-28
[6]  
Garratty, 2003, IMMUNE HEMOLYTIC ANE
[7]   Autoimmune hemolytic anemia [J].
Gehrs, BC ;
Friedberg, RC .
AMERICAN JOURNAL OF HEMATOLOGY, 2002, 69 (04) :258-271
[8]  
Giannadaki E, 1997, AM J GASTROENTEROL, V92, P1872
[9]  
Haan J, 2003, AM SURGEON, V69, P1036
[10]   CT findings after embolization for blunt splenic trauma [J].
Killeen, KL ;
Shanmuganathan, K ;
Boyd-Kranis, R ;
Scalea, TM ;
Mirvis, SE .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2001, 12 (02) :209-214