A case of lung cancer combined with ocular myopathy and idiopathic thrombocytopenic purpura which was presumed to be caused by heart catheterization

T. Tanita, T. Nishimura, H. Kubo, M. Handa, Y. Okada, Y. Hoshikawa, S. Ueda, J. Shibuya, S. Iwabuchi, Y. Ashino

研究成果: Article

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A 61-year-old patient was admitted to our hospital because of a chest abnormal shadow. He was suffered from ocular myopathy for more than 4 years. A lab data on the admission showed only a slight thrombocytopenia. After the unilateral pulmonary arterial occlusion test for the preoperative evaluation of thoracotomy, the hemorrhagic tendency was appeared. A detailed examination proved idiopathic thrombocytopenic purpura which was presumed to be caused by the heart catheterization. We employed high-dose intravenous gamma-globulin infusion and concentrated platelet transfusion for 5 days for preventing hemorrhagic complications during the thoracotomy. The partial resection was undergone for the left upper lobe tumor, which was proved as large cell carcinoma. The postoperative hemorrhage was well controlled. We conclude that the high-dose intravenous gamma-globulin infusion and/or concentrated platelets transfusion should be positively employed for the patients with even slight thrombocytopenic purpura.

元の言語English
ページ(範囲)328-331
ページ数4
ジャーナルKyobu geka. The Japanese journal of thoracic surgery
47
発行部数4
出版物ステータスPublished - 04-1994
外部発表Yes

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

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