TY - JOUR
T1 - Hypothermia as a cause of coagulopathy during hepatectomy
AU - Lau, Albert Wai Cheung
AU - Chen, Chia Chen
AU - Wu, Rick Sai Chuen
AU - Poon, Kin Shing
PY - 2010/6
Y1 - 2010/6
N2 - We report a 27-year-old hemostatically competent female scheduled for partial hepatectomy. During the operation, she experienced an accidental inferior vena cava tear and suffered acute blood loss. After fluid resuscitation and blood transfusion, she developed hypothermia, with a temperature of 33.8°C, and severe coagulopathy with activated clotting time exceeding 1500 seconds measured using the Hemochron Response system (ITC, Edison, NJ, USA). Despite sufficient blood transfusion and correction of her electrolyte imbalance, the poor hemostasis persisted. After per-forming peritoneal lavage with warm saline, her condition dramatically improved and her hypothermia and severe coagulopathy were reversed.
AB - We report a 27-year-old hemostatically competent female scheduled for partial hepatectomy. During the operation, she experienced an accidental inferior vena cava tear and suffered acute blood loss. After fluid resuscitation and blood transfusion, she developed hypothermia, with a temperature of 33.8°C, and severe coagulopathy with activated clotting time exceeding 1500 seconds measured using the Hemochron Response system (ITC, Edison, NJ, USA). Despite sufficient blood transfusion and correction of her electrolyte imbalance, the poor hemostasis persisted. After per-forming peritoneal lavage with warm saline, her condition dramatically improved and her hypothermia and severe coagulopathy were reversed.
KW - blood coagulation: coagulopathy
KW - hypothermia
UR - https://www.scopus.com/pages/publications/77956625231
U2 - 10.1016/S1875-4597(10)60023-9
DO - 10.1016/S1875-4597(10)60023-9
M3 - 文章
C2 - 20643371
AN - SCOPUS:77956625231
SN - 1875-4597
VL - 48
SP - 103
EP - 106
JO - Acta Anaesthesiologica Taiwanica
JF - Acta Anaesthesiologica Taiwanica
IS - 2
ER -