[Anesthesia for a patient with macrothrombocytopenia].
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.
Kasama
S
S
Department of Anesthesiology, Nagano Red Cross Hospital.
Hayafuji
M
M
Takano
T
T
Songhee
K
K
Ogihara
M
M
Nishizawa
M
M
Ishida
F
F
Sodeyama
H
H
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
D005719:gamma-Globulins