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食道静脈瘤に対する内視鏡的硬化療法後に第V因子欠損症を来した1例
http://hdl.handle.net/2297/39724
http://hdl.handle.net/2297/397248344c591-edfb-47d3-b667-640e7b5225e1
名前 / ファイル | ライセンス | アクション |
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HO-PR-KITAMURA-K-451.pdf (1.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | 食道静脈瘤に対する内視鏡的硬化療法後に第V因子欠損症を来した1例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A case of acquired Factor V deficiency caused by endoscopic injection sclerotherapy | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
山田, 和俊
× 山田, 和俊× 北村, 和哉× 丹尾, 幸樹× 島上, 哲朗× 荒井, 邦明× 柿木, 嘉平太× 山下, 太郎× 酒井, 佳夫× 水腰, 英四郎× 金子, 周一 |
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書誌情報 |
日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy 巻 56, 号 3, p. 451-456, 発行日 2014-01-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0387-1207 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00192102 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.11280/gee.56.451 | |||||
出版者 | ||||||
出版者 | 日本消化器内視鏡学会 = Japan Gastroenterological Endoscopy Society | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 症例は57歳男性,食道静脈瘤に対し内視鏡的硬化療法(EIS)を施行したが,その際の止血に難渋した.凝固能の低下,プロトロンビン時間(PT),ヘパプラスチンテスト(HpT)の解離,第V因子の著明な低下,第V因子インヒビターの上昇などを認め,後天性第V因子欠損症と診断した.診断時には出血症状を認めておらず,慎重に経過観察をしたところ,自然経過にて凝固能は改善と第V因子インヒビター力価の低下を認めた.内視鏡治療により生じた後天性第V因子欠損症は非常に稀であり,報告する.We report a 57-year-old male with esophageal varices who had difficulty in hemostasis after endoscopic injection sclerotherapy (EIS). Laboratory data revealed a decrease in blood clotting, a dissociation in prothrombin activity with the hepaplastin test results, and a significant reduction in factor V (FV) activity. Therefore, we made the diagnosis of an acquired FV inhibitor. Since the patient had no unusual bleeding at the time of diagnosis, we provided careful observation with no particular treatment. Subsequently we confirmed that there was an improvement in blood clotting and a decrease in the FV inhibitor titer. We report a case of acquired FV deficiency caused by EIS, which is extremely rare. | |||||
権利 | ||||||
権利情報 | Copyright © 2014 一般社団法人 日本消化器内視鏡学会 Japan Gastroenterological Endoscopy Society | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.jges.net/index.php/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/browse/gee/-char/ja/ |