지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 336 - 342 (7page)
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초록· 키워드
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The precise mechanism involved in DIC and delayed traumatic subarachnoid hemorrhage (DT-SAH) remains unclear in multipletrauma patients. Hereby, we describe a polytraumatized patient with DIC who died due to DT-SAH. A 75-year-old female patient was admitted to our Emergency Department complaining of abdominal pain and drowsiness after a pedestrian accident. Her initial brain computerized tomography (CT) finding was negative for intracranial injury. However, her abdominal CT scan revealed a collection of retroperitoneal hematomas from internal iliac artery bleeding after a compressive pelvic fracture. This event eventually resulted in shock and DIC. An immediate angiographic embolization of the bleeding artery was performed along with transfusion and antithrombin III. Her vital signs were stabilized without neurological change. Fourteen hours after admission, she suddenly became comatose, and her follow-up brain CT scan revealed a dense DT-SAH along the basal cisterns with acute hydrocephalus. This event rapidly prompted brain CT angiography and digital subtraction angiography, which both confirmed the absence of any cerebrovascular abnormality. Despite emergency extraventricular drainage to reverse the hydrocephalus, the patient died three days after the trauma.
This paper presents an unusual case of DT-SAH in a polytraumatized patient with DIC.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Baharvahdat H / 2004 / Effect of fresh frozen plasma in prevention of delayed intracerebral hematoma in severe traumatic brain injury / J Neurotrauma 21 : 1298 ~
Bollinger O / 1891 / Internationale Beitrage zur wissenschaftlichen Medizin;festschrift, Rudolf Virchow gewidmet zur vollendung seines 70. Lebensjahres / August Hirschwald : 457 ~ 470
Chen G / 2002 / The influence of traumatic subarachnoid hemorrhage on prognosis of head injury / Chin J Traumatol 5 : 169 ~ 171
Churliaev IuA / 2001 / Treatment of DIC syndrome in patients with severe craniocerebral trauma / Anesteziol Reanimatol : 27 ~ 29
Evans JP / 1946 / Histologic studies of the brain following head trauma; post-traumatic petechial and massive intracerebral hemorrhage / J Neurosurg 3 : 101 ~ 113
Bollinger O / 1891 / Internationale Beitrage zur wissenschaftlichen Medizin;festschrift, Rudolf Virchow gewidmet zur vollendung seines 70. Lebensjahres / August Hirschwald : 457 ~ 470
Chen G / 2002 / The influence of traumatic subarachnoid hemorrhage on prognosis of head injury / Chin J Traumatol 5 : 169 ~ 171
Churliaev IuA / 2001 / Treatment of DIC syndrome in patients with severe craniocerebral trauma / Anesteziol Reanimatol : 27 ~ 29
Evans JP / 1946 / Histologic studies of the brain following head trauma; post-traumatic petechial and massive intracerebral hemorrhage / J Neurosurg 3 : 101 ~ 113
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