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KMID : 0382719710020010111
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Medical Journal of the Han-il Hospital
1971 Volume.2 No. 1 p.111 ~ p.115
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A Case of Secondary Polycythemia associated with Primary Hepatoma
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김택춘/Kim, Taik Choon
서성모/김철수/김광회/최진학/Kim, Chul Soo/Su, Sung Mo/Kim, Kwang Hoi/Choi, Jin Hak
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Abstract
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Idiopathic thrombocytopenic purpura is a rare complication of pregnancy. Authors presented a case of I.T.P. in pregnancy which was found after repeat C-section.
In the postoperative period, transfusion of 7 pints of whole blood, and 500mg of Solu-cortef in 1000 cc of 5% D j W were required to maintain blood pressure within satisfactory levels. But abdominal distension was increased gradually and continuous oozing occurred from incision site of the skin.
On exploratory laparotomy, about 3000cc of fresh blood and blood clots were found in the abdominal cavity and continuous oozing from C-section site of the lower segment, diffuse blood infiltration in the bladder wall. Subtotal hysterectomy was performed because of uncontrolled bleeding from C-section site.
On postoperative 8th day, under the immersion of ,the supportive hem peritoneum, re explolaparotomy ´vas decided again. She was treated with transfusion of the 28 pints of fresh and whole blood, prednisolone and antibiotics.
The literature. have been reviewed on this subject. ?
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