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KMID : 0604020080230010036
Korean Journal of Critical Care Medicine
2008 Volume.23 No. 1 p.36 ~ p.39
Anesthetic and Postoperative Intensive Care for Patient with Systemic Lupus Erythematosis and Antiphospholipid Syndrome
Park Sung-Wook

Kwon Moo-Il
Kim Keon-Sik
Kim Yong-Il
Abstract
The antiphospholipid syndrome (APS) is characterized by vascular thrombosis despite of prolongation of coagulation
profile in laboratory findings and pregnancy morbidity in the presence of antiphospholipid antibody. It occurs
primarily or secondarily to autoimmune disease. This case report concerns a pelviscopic left ovarian cystectomy in a
32-year-old female with APS and systemic lupus erythematosis. To manage the hypercoagulability, oral warfarin and
low molecular weight haparin were given pre- and postoperatively. In perioperative period, we monitored activated
clotting time to prevent intraoperative thrombosis and tried to avoid dehydration, hypothermia and infection.
KEYWORD
Antiphospholipid antibody, Antiphospholipid syndrome, Hypercoagulability, Systemic Lupus erythematosis
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