복부 대동맥류에서 발치 후 발생한 범발성 혈관내 응고증 1예
A case of disseminated intravascular coagulation after tooth extraction in abdominal aortic aneurysm
소속 상세정보
윤병인/Buung In Yun
이정열/노희종/주민하/전만조/안종호/장흥문/Jeong Yeol Lee/Hee Jong Noh/Min Ha Joo/Man Jo Jeon/Jong Ho Ahn/Heung Moon Chang
KMID : 0882420010610050572
Abstract
저자들은 발치 후 지혈이 안되어 입원하였던 79세의 환자에서 복부 대동맥류에 DIC가 병발된 것을 진단하고 신선동결혈장과 low dose heparin 투여로 효과를 보였던 1예를 경험하였기에 문헌 고찰과 더불어 보고하는 바이다.
Disseminated intravascular coagulation (DIC) is the result of a severe underlying disorder that initiates massive activation of the coagulation systems. We report an unusual case of 79-year-old man who developed DIC after tooth extraction in
abdominal
aortic aneurysm. He was referred to our hospital because of persistent bleeding after tooth extraction. Physical examination indicated a pulsating mass in abdomen. Abdominal computerized tomography (CT) scan revealed 70 mm diameter aneurysm of
the
abdominal aorta, extending from the renal infrahilar level to the common iliac artery, and his coagulation profile showed the features of DIC by revealing thrombocytopenia, hypofibrinogenemia, and increased level of fibrinogen degradation product
(FDP).
After he had received blood component therapy including fresh frozen plasma and continuous intravenous heparin infusion (4,800 U/day), the bleeding diathesis and coagulopathy improved. He refused to have definitive surgery for the aneurysm.
키워드
Disseminated intravascular coagulation (DIC); Aortic aneurysm; Tooth extraction;
원문 및 링크아웃 정보
등재저널 정보