肝钇-90放射栓塞后获得性血友病A 1例报告。

Susanna Tribuzi, Alessia Naccarato, Lorella Pelagalli, Marco Covotta, Giulia Torregiani, Claudia Claroni, Ester Forastiere
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引用次数: 0

摘要

获得性血友病是一种罕见但可能危及生命的出血性疾病,由针对血浆凝血因子(最常见的是因子VIII)的自身抗体(抑制剂)的发展引起。我们报告一例65岁肝细胞癌患者在肝钇-90放射栓塞手术后大量出血(选择性内放射治疗钇-90树脂微球[SIRTex])。诊断为获得性因子VIII缺乏,并通过重组活化因子VII和免疫抑制成功治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acquired Hemophilia A After Hepatic Yttrium-90 Radioembolization: A Case Report.

Acquired hemophilia is a rare but potentially life-threatening bleeding disorder caused by the development of autoantibodies (inhibitors) directed against plasma coagulation factors, most frequently factor VIII. We report a case of a 65-year-old man with hepatocellular carcinoma who bled massively after a hepatic Yttrium-90 radioembolization procedure (Selective Internal Radiation Therapy with Yttrium-90 Resin Microspheres [SIRTex]). An acquired deficiency of factor VIII was diagnosed and successfully treated with recombinant activated factor VII and immunosuppression.

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