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Soonchunhyang Med Sci > Volume 26(2); 2020 > Article
Soonchunhyang Medical Science 2020;26(2): 119-122. doi: https://doi.org/10.15746/sms.20.029
간경화를 가지고 있는 여호와의 증인 환자의 수술 중 실혈관리를 위한 Tranexamic Acid와 Hemocoagulase의 동반 사용 예
유재화1, 김건태1, 오홍철2
1순천향대학교 서울병원 마취통증의학과
2순천향대학교 서울병원 흉부외과
Successful Intraoperative Management to Minimize Blood Loss Using the Combination of Tranexamic Acid and Hemocoagulase for Jehovah’s Witnesses Patient with Liver Cirrhosis
Jae Hwa Yoo1, Geon Tae Kim1, Hong Chul Oh2
1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea
2Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea
Corresponding Author: Jae Hwa Yoo ,Tel: +82-2-709-9302, Fax: +82-2-790-0394, Email: lenael5719@gmail.com; 89523@schmc.ac.kr
Received: October 11, 2020;  Accepted: October 29, 2020.
ABSTRACT
A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In addition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respectively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.
Key words: Hemocoagulase; Jehovah’s Witnesses; Tranexamic acid
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