https://scholars.lib.ntu.edu.tw/handle/123456789/531981
標題: | Recombinant factor VIIa use in refractory ulcer bleeding in uremic patient | 作者: | Wang A.-Y. ANG YUAN CHIEN-HUA HUANG WEI-TIEN CHANG PO-CHIN LIANG TZU-HSIN LIN SHYR-CHYR CHEN |
公開日期: | 2012 | 卷: | 30 | 期: | 7 | 起(迄)頁: | 1319.e1-1319.e4 | 來源出版物: | American Journal of Emergency Medicine | 摘要: | Peptic ulcer bleeding is thought to be a major cause of bleeding in patients with end-stage renal disease and is more complicated in uremic patients. We described a 41-year-old man with end-stage renal disease who underwent hemodialysis with refractory ulcer bleeding, failure to all traditional peptic ulcer treatments, and correction of uremic component, who has been successfully treated by using recombinant factor VIIa. There have been few case reports in dealing refractory upper gastrointestinal bleeding in uremic patients in the literature; and in this case report, we demonstrates that recombinant factor VIIa could be used as a rescue therapy in these highsurgical risk patients when medical therapy fails. ? 2012 Elsevier Inc. All rights reserved. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/531981 | ISSN: | 0735-6757 | DOI: | 10.1016/j.ajem.2011.05.010 | SDG/關鍵字: | adrenalin; enbucrilate; heparin; proton pump inhibitor; recombinant blood clotting factor 7a; abdominal pain; adult; aorta dissecting aneurysm; argon plasma coagulation; article; artificial embolism; case report; clip; computer assisted tomography; duodenal ulcer bleeding; duodenostomy; embolectomy; femorofemoral bypass; gastrointestinal endoscopy; gastrointestinal hemorrhage; hemodialysis; human; hypertension; hypovolemic shock; kidney failure; laparotomy; male; peptic ulcer bleeding; priority journal; renal replacement therapy; suturing method; transarterial angiographic embolization; treatment failure; uremia; vomiting |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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