title: [Anesthesia for a patient with macrothrombocytopenia].
abstract: A 56-year-old female with macrothrombocytopenia was scheduled for colectomy and hepatectomy. She had not shown significant bleeding tendency. Her preoperative platelet counts were 0.5-1.6 x 10(4) microliters-1 with the use of an automated cell counter. However, microscopic examination showed platelet number ranging 0.9-3.4 x 10(4) microliters-1 and many macrothrombocytes. Therefore, platelet biomass (platelet number x platelet volume) seemed almost normal. Bleeding time was 3 minutes and platelet function was normal. She received preoperatively high dose gamma-globulin administration and intraoperatively platelet transfusion. The operation was performed under combined epidural and general anesthesia. Intra- and post-operative course was uneventful.
authors.affiliation: Department of Anesthesiology, Nagano Red Cross Hospital.
authors.forename: S
authors.initials: S
authors.lastname: Kasama
authors.forename: M
authors.initials: M
authors.lastname: Hayafuji
authors.forename: T
authors.initials: T
authors.lastname: Takano
authors.forename: K
authors.initials: K
authors.lastname: Songhee
authors.forename: M
authors.initials: M
authors.lastname: Ogihara
authors.forename: M
authors.initials: M
authors.lastname: Nishizawa
authors.forename: F
authors.initials: F
authors.lastname: Ishida
authors.forename: H
authors.initials: H
authors.lastname: Sodeyama
mesh_terms: D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D003082:Colectomy; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008875:Middle Aged; D019990:Perioperative Care; D010976:Platelet Count; D017713:Platelet Transfusion; D013921:Thrombocytopenia / Q000097:blood; D005719:gamma-Globulins / Q000008:administration & dosage
chemical_list: D005719:gamma-Globulins