書誌事項
- タイトル別名
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- Traumatic Intramural Duodenal Hematoma in a Patient with Thrombasthenia.
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We report a 7-year-old girl with thrombasthenia and duodenal hematoma as a result of a mild blunt traumatic injury. She had fallen while holding a baby and 2 hours later was admitted to the hospital because of upper abdominal pain and vomiting. Laboratory data and an abdominal computed tomography scan showed a duodenal intramural hematoma with duodenal stenosis. She was managed with nonoral intake, peripheral intravenous fluid, and blood transfusion (concentrated red cells 2U, platelets 10 U×3 times).On the 8th day after her admission, the gastriduodenography showed that the duodenum was cleared despite its stenosis, and she started eating. One month after the injury, an abdominal computed tomography scan showed that the duodenal intramural hematoma had completely disappeared, and she was discharged. This duodenal injury was success-fully treated with conservative therapy. The case suggests that a computed tomography scan should be applied without delay in patients with thrombasthenia and a history of trauma because of the potential for serious bleeding.
収録刊行物
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- 日本小児血液学会雑誌
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日本小児血液学会雑誌 16 (3), 148-151, 2002
特定非営利活動法人 日本小児血液・がん学会
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詳細情報 詳細情報について
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- CRID
- 1390001204342298368
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- NII論文ID
- 130004345718
- 10012211454
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- NII書誌ID
- AN10080852
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- ISSN
- 18844723
- 09138706
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可