ABDOMINAL AORTIC-ANEURYSM AND CHRONIC DISSEMINATED INTRAVASCULAR COAGULATION

被引：1

作者：

CHAUVET, V ^{[1
]}

BUSSAC, JJ ^{[1
]}

JULLIAN, H ^{[1
]}

JUHANVAGUE, I ^{[1
]}

BRANCHEREAU, A ^{[1
]}

机构：

[1] CHU TIMONE,DEPT ANESTHESIE REANIMAT,BLVD JEAN MOULIN,F-13385 MARSEILLE 5,FRANCE

来源：

ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1991年 / 10卷 / 02期

关键词：

D O I：

10.1016/S0750-7658(05)80459-9

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A case of abdominal aortic aneurysm associated with preoperative signs of disseminated intravascular coagulation is reported. The 69-year-old female patient presented with spontaneously appearing petechiae and bruising. She had 0.95 g.l-1 fibrinogen, 105 G.l-1 platelets, and 100-mu-g.ml-1 fibrin and fibrinogen degradation products. Investigations revealed an 80 mm diameter aneurysm of the abdominal aorta, extending from the coeliac trunk to the iliac arteries. Heparin 7 000 IU.day-1 resulted in a biological improvement for a week only. At that time, levels of coagulation factors were: 92 % factor II, 88 % factor V, 100 % factors VII and X, 100 % antithrombin III. Surgical cure of the aneurysm was nevertheless carried out. Twenty standard units of platelets, 8 g fibrinogen, four units of fresh frozen plasma, five homologous and two autologous red cell units were transfused during the procedure. No coagulation factors were necessary during the postoperative course, which was uneventful. The management of coagulation factor infusions, before or after aortic cross-clamping, is discussed.

引用

页码：164 / 167

页数：4

共 12 条

[1]

Diskin, Weitberg, Minidose heparin therapy. Treatment of chronic intravascular coagulation syndrome, Arch Intern Med, 140, pp. 263-266, (1980)

[2]

Fisher, Yawn, Crawford, Preoperative disseminated intravascular coagulation associated with aortic aneurysms. A prospective study of 76 cases, Arch Surg, 118, pp. 1252-1255, (1983)

[3]

Goto, Kimoto, Kawaguchi, Tadakuma, Kaneko, Uemura, Miyauchi, Nakagawa, Surgical treatment of abdominal aortic aneurysm complicated with chronic disseminated intravascular coagulopathy, J Cardiovasc Surg, 26, pp. 280-282, (1985)

[4]

Keagy, Pharr, Bowes, Unusual presentation of abdominal aortic aneurysm, J Cardiovasc Surg, 22, pp. 41-45, (1981)

[5]

Miyata, Tada, Takagi, Oshima, Shirakawa, Idezuki, Disseminated intravascular coagulation caused by abdominal aortic aneurysm, J Cardiovasc Surg, 29, pp. 494-497, (1988)

[6]

Morishita, Tabata, Saigenji, Taira, Disseminated intravascular coagulopathy associated with thromboexclusion for dissecting aortic aneurysm, J Cardiovasc Surg, 27, pp. 731-733, (1986)

[7]

Mukaima, Shionoya, Ikezawa, Kamiya, Hamaguchi, Saito, Abdominal aortic aneurysm complicated with chronic intravascular coagulopathy a case of surgical treatment, Journal of Vascular Surgery, 6, pp. 600-604, (1984)

[8]

Mulcare, Royster, Phillips, Intravascular coagulation in surgical procedures on the abdominal aorta, Surg Gynecol Obstet, 143, pp. 730-734, (1976)

[9]

Ris, Domingo, Hernandez, Brunet, Franco, Consumptive coagulopathy associated with aortic aneurysm, Am J Med, 83, pp. 189-190, (1987)

[10]

Satiani, Savrin, Evans, Consumption coagulopathy associated with arterial aneurysms, J Cardiovasc Surg, 20, pp. 273-277, (1979)

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