지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Spontaneous arterial bleeding has been reported rarely. In a patient consuming heavy amounts of alcohol with alcoholic liver cirrhosis,spontaneous bleeding can be evoked by thrombocytopenia, altered platelet function, and shear stress on fully dilated arteriesby portal hypertension. Alcohol consumption itself can also predispose a patient to bleeding by influencing the aggregation and activationof platelets, and altering the coagulation and fibrinolysis pathway. All of these mechanisms could cause patients with alcoholicliver cirrhosis to bleed spontaneously; however, conditions inducing peripheral arterial bleeding are very rare. Here, we reportthree cases of spontaneous arterial bleeding in patients with liver cirrhosis consuming heavy amounts of alcohol. All of the patientsbled without any physical trauma, and the involved arteries were the intercostal arteries in two cases and a gastroduodenal artery inthe other case. The patients were treated by angiographic embolization. One expired due to recurrence of arterial bleeding despiterepeated angiographic embolization and massive transfusion.
목차
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참고문헌 (10)
참고문헌 신청
Arai K / 2007 / Spontaneous hemothorax in neurofibromatosis treated with percutaneous embolization / Cardiovasc Intervent Radiol 30 : 477 ~ 479
Di Gennaro C / 2012 / Endothelial dysfunction and high cardiovascular risk profile in severe alcoholics improve only partially following a medium-term alcohol withdrawal / A
Iwao T / 1997 / Effect of postureinduced blood volume expansion on systemic and regional hemodynamics in patients with cirrhosis / J Hepatol 27 : 484 ~ 491
Kaufman DW / 1999 / The risk of acute major upper gastrointestinal bleeding among users of aspirin and ibuprofen at various levels of alcohol consumption / Am J Gastroenterol
Lisman T / 2010 / Hemostasis and thrombosis in patients with liver disease: the ups and downs / J Hepatol 53 : 362 ~ 371
Di Gennaro C / 2012 / Endothelial dysfunction and high cardiovascular risk profile in severe alcoholics improve only partially following a medium-term alcohol withdrawal / A
Iwao T / 1997 / Effect of postureinduced blood volume expansion on systemic and regional hemodynamics in patients with cirrhosis / J Hepatol 27 : 484 ~ 491
Kaufman DW / 1999 / The risk of acute major upper gastrointestinal bleeding among users of aspirin and ibuprofen at various levels of alcohol consumption / Am J Gastroenterol
Lisman T / 2010 / Hemostasis and thrombosis in patients with liver disease: the ups and downs / J Hepatol 53 : 362 ~ 371
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