Temporal Hemostasis with Kampo Medicine for Bleeding Due to Enhanced Fibrinolytic Type of Chronic Disseminated Intravascular Coagulation : A Case Report
- VernacularTitle:線溶亢進型の慢性 DIC による出血に対して漢方治療で応急的な止血が可能であった1例
- Author:
Yuzo FUKUSHIMA
1
;
Ryosuke FUJITA
2
;
Nobuhiro MIYAMOTO
3
;
Mari HAMAYOSHI
4
;
Yuma OTSUKA
5
Author Information
- Keywords: disseminated intravascular coagulation (DIC); aortic dissection; stent-graft; kyukikyogaito; kamikihito
- From:Kampo Medicine 2021;72(2):130-134
- CountryJapan
- Language:Japanese
- Abstract: A 74-year-old woman presented to our clinic with a history of vascular-and stent-graft insertion for aortic dissection developed a tendency to bleed from a palmar wound due to chronic disseminated intravascular coagulation (DIC). Initially, she sustained the palmar wound due to a fall. On the second day after the injury, she experienced continuous bleeding and consulted the orthopedic department of a general hospital, where her dressing was changed. On the third day after injury, she sought consultation at our clinic. The clot and wound remained intact even 12 days after the injury. Therefore, the clot was removed and the bleeding was stopped surgically. On the same day, 5 hours after the surgical treatment, the patient presented to our clinic because of continuous bleeding. She was then administered kyukikyogaito and kamikihito to stop the bleeding. Her laboratory findings revealed thrombocytopenia, and additional inspection was performed. The bleeding stopped on the next day. On the third day after administration, the bleeding remained controlled and an additional inspection revealed DIC. In the cardiology hospital, the cause of tendency to bleed of chronic DIC was pointed out as being due to a leakage at the end of the stent-graft. Kampo medicine was thought to be useful for temporal hemostasis for bleeding due to chronic DIC.
