オガワ　マサキ   OGAWA Masaki   小川　正樹    所属   医学部 医学科（附属八千代医療センター）    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Low-dose recombinant activated factor VII temporally stopped bleeding from small artery in severe postpartum hemorrhage: a case report.
掲載誌名	正式名：Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis 略　 称：Blood Coagul Fibrinolysis ISSNコード：09575235
巻・号・頁	24(3),pp.344-6
著者・共著者	Ogawa Masaki†*, Akahira Saeko, Takahashi Satoshi, Shimoda Yuki, Sato Megumi, Sato Akira, Terada Yukihiro
担当区分	筆頭著者,責任著者
発行年月	2013/04
概要	Recombinant activated factor VII has been used to effectively treat uncontrolled massive hemorrhage at parturition in an off-label manner. Interventional radiology, including vessel embolization of the internal iliac artery or uterine artery for postpartum hemorrhage, is now familiar to obstetricians. However, this therapeutic technique is applicable only in patients who are hemodynamically stable. We encountered a case with severe and uncontrolled postpartum bleeding from the vaginal fornix. The patient received a low dose (<20 μg/kg) of factor VIIa and subsequently underwent vessel embolization. We herein report that this stepwise treatment was very effective for uncontrolled bleeding.
DOI	10.1097/MBC.0b013e32835975b1
文献番号	PMID: 23448730