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KMID : 0352120140290020020
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Journal of Kyung Hee University
2014 Volume.29 No. 2 p.20 ~ p.23
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Treatment of Epidural Hematoma of Senior Hemophilia A patient after Epidural Spinal Block - A Case Report -
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Cho Yong-Hyun
Shin Kwang-Il
Kim Sun-Hee
Lee Dong-Hyun
Cheon Sung-Hyun
Kang Seung-Hyun
Kim Sung-Yul
Byun Sang-Hyun
Jang Won
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Abstract
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The male patient of 74-year-old, There was no bleeding tendency on the history of the past and family history, but epidural hematoma occured after regional spinal anesthesia. Lower extremity paralysis with abdominal pain and radiating pain in lower extremity arised. In nine days after regional spinal anesthesia, decompression carried out but complete paraplegia accurs next day. After operation, Hemophilia A was diagnosed. Although Hemophilia A is genetic disease, mild type is not diagnosed until an adult and spontaneous bleeding patient is cautiously evaluated. If he was able to previously diagnosed, the factor 8 clotting factor was supplemented before operation then rebleeding was Prevented after surgery in this case.
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KEYWORD
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Epidural hematoma, Hemophilia A, Factor
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