書誌事項
- タイトル別名
-
- A Case of Hemophilia B Diagnosed in a Patient Who Presented with Repeated Post-Tonsillectomy Hemorrhage
- コウガイ ヘントウ テキシュツジュツ コウシュッケツ オ ケイキ ニ シンダン サレタ ケツユウビョウ Bレイ
この論文をさがす
抄録
<p>Hemophilia B is an X-linked disease characterized by decreased in blood level of coagulation factor IX activity. Mild to moderate hemophilia is often diagnosed only after surgery or trauma. We encountered a case of hemophilia B, in which the diagnosis was made after the patient presented with recurrent postoperative hemorrhage. The patient was a 4-year-old boy without any remarkable past medical history of bleeding disorders. He was diagnosed as having severe obstructive sleep apnea, and underwent adenotonsillectomy under general anesthesia. Postoperative hemorrhage occurred on day 2 and day 6 after surgery, and procedures for hemostasis were required on both days. He exhibited recurrent hemorrhage and showed a prolonged activated partial thromboplastin time of 62.3 s; therefore, we suspected coagulopathy. Further examination revealed a reduced blood coagulation factor IX activity level, and the patient was diagnosed as having moderate hemophilia B. This case indicates the importance of preoperative screening for coagulation defects, especially before tonsillectomy, as post-tonsillectomy bleeding can be fatal.</p>
収録刊行物
-
- 耳鼻咽喉科臨床
-
耳鼻咽喉科臨床 114 (9), 689-694, 2021
耳鼻咽喉科臨床学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390007757214528512
-
- NII論文ID
- 130008081953
-
- NII書誌ID
- AN00107089
-
- ISSN
- 18844545
- 00326313
-
- NDL書誌ID
- 031700401
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可