| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2014-07-18 |
| タイトル |
|
|
タイトル |
[原著]放射線療法が奏効したKasabach-Merritt症候群の2例 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Two cases of Kasabach-Merritt syndrome responded well to radiotherapy |
|
言語 |
en |
| 作成者 |
大城, 隆
平山, 清武
喜友名, 琢也
名嘉真, 武男
外間, 之雄
Ohshiro, Takashi
Hirayama, Kiyotake
Kiyuna, Takuya
Nakama, Takeo
Hokama, Yukio
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| アクセス権 |
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|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
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|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
We have recently encountered two cases of Giant hemangioma with thrombocytopenia, so-called Kasabach-Merritt Syndrome, responded well to radiotherapy. The first case, a 3-month-old girl was hospitalized in October 1980 because of thrombocytopenia and hemangioma around the right ear after birth. On admission, the size of hemangioma showed a 7.5cm×6.5cm. Coagulation studies included a platelet count of 57,000/mm^3, prolonged bleeding time and slightly increased FDP titer. The prothrombin time and partial thromboplastin time were normal, but fibrinogen was decreased. Fragmented erythrocyte was seen in peripheral blood. The second case, a 4-month-old boy was admitted in November 1980 with rapidly enlarging hemangioma in the right upper arm. Hematological findings were as follows: hemoglobin was 9.8g/dl.; platelets, 29,000/mm^3; bleeding time, 8 minutes; prothrombin time, 11.2 seconds compared to a control of 13 seconds; partial thromboplastin time, 24.2 seconds with a control of 30 seconds; fibrinogen level, 208mg/dl; and FDP titer, 40-80$ \mu $g/ml. The patients were treated with radiotherapy under diagnosis of hemangioma complicated with coagulopathy. The total doses we administered were of 600 rads at the first case, and 800 rads at the second case. Thereafter, the size of the hemangioma decreased gradually, and the coagulation abnormalities were corrected to normal within one to three months. For Kasabach-Merritt syndrome, various treatment, for example, surgical excision, corticosteroid therapy or radiotherapy were attempted up to date. We suggests that radiotherapy is more effective and safe treatment rather than the others. |
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
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出版者 |
琉球大学医学部 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Faculty of Medicine, University of the Ryukyus |
|
言語 |
en |
| 言語 |
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|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 出版タイプ |
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|
出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0285-9270 |
| 収録物識別子 |
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|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00250763 |
| 収録物名 |
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|
収録物名 |
琉球大学保健学医学雑誌＝Ryukyu University Journal of Health Sciences and Medicine |
|
言語 |
ja |
| 書誌情報 |
巻 4,
号 1,
p. 95-102
|
v4p95.pdf
