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15_0827.pdf | 3.38 MB | Adobe PDF | 見る/開く |
タイトル: | 特異的な膀胱出血を主訴とした血友病Aの1症例 |
その他のタイトル: | Hemophilia A presenting unusual vesical bleeding; report of a case |
著者: | 川村, 寿一 沢西, 謙次 高山, 秀則 上山, 秀麿 安永, 幸二郎 岡本, 美恵子 |
著者名の別形: | Kawamura, Juichi Sawanishi, Kenji Takayama, Hidenori Ueyama, Hidemaro Yasunaga, Kojiro Okamoto, Mieko |
キーワード: | Adult Carcinoma, Squamous Cell/surgery Factor VIII Hemophilia A/surgery Hemorrhage/surgery Humans Male Pedigree Urinary Bladder Neoplasms/surgery Urography |
発行日: | Dec-1969 |
出版者: | 京都大学医学部泌尿器科学教室 |
誌名: | 泌尿器科紀要 |
巻: | 15 |
号: | 12 |
開始ページ: | 827 |
終了ページ: | 846 |
抄録: | A 43-year-old man with moderate hemophilia A developed vesical bleeding hard to control. The cause of hemorrhage was found to be an infiltrating cancer of the bladder, histology of which was undifferentiated carcinoma with focal transitional carcinoma interestingly in the muscular layer. Malignant alteration in this case was thought to be induced by mechanical stimulation such as frequent fulguration, cystotomy, and long-term catheter indwelling. Recently, major surgery on hemophiliacs has become much safer by replacement of the deficient factor. Besides transfusion of fresh blood and frozen plasma, various type of factor VIn preparations have made the pre-and postoperative management easier and greatly improved the operative results. Cryoprecipitate of our own make gave the good result in maintaining the antihemophilic factor level. |
URI: | http://hdl.handle.net/2433/120076 |
PubMed ID: | 5391520 |
出現コレクション: | Vol.15 No.12 |
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