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学術雑誌論文 / Journal Article(1) |
公開日 |
2010-03-24 |
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タイトル |
ガンマグロブリン大量療法とプレドニゾロン併用療法が奏功した妊娠合併急性型特発性血小板減少性紫斑病の1例 |
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タイトル |
A Case of Acute Idiopathic Thrombocytopenic Purpura during Pregnancy Successfully Treated with High-Dose γ-Globulin and Prednisolone |
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言語 |
jpn |
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主題 |
acute idiopathic thrombocytopenic purpura, pregnancy, combination therapy of γ-globulin and prednisolone 急性型特発性血小板減少性紫斑病, 妊娠, ガンマグロブリンとプレドニゾロン併用療法 |
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資源 |
http://purl.org/coar/resource_type/c_6501 |
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journal article |
著者 |
牧島, 秀樹
北野, 喜良
石田, 文宏
清澤, 研道
望月, 太郎
林, 圭介
田中, 征雄
長田, 敦夫
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信州大学研究者総覧へのリンク |
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氏名 |
石田, 文宏 |
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URL |
http://soar-rd.shinshu-u.ac.jp/profile/ja.ueTCHhkh.html |
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出版者 |
信州医学会 |
引用 |
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内容記述 |
信州医学雑誌 47(4): 309-314(1999) |
書誌情報 |
信州医学雑誌
巻 47,
号 4,
p. 309-314,
発行日 1999-08-10
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内容記述 |
We report a case of acute idiopathic thrombocytopenic purpura (ITP) during pregnancy, which was successfully treated by a combination of high-dose γ-globulin and prednisolone (PSL).A 30-year-old female was admitted to our hospital in the 11th week of pregnancy due to bleeding.Laboratory data revealed severe thrombocytopenia (2,000/μl)with normal red blood cell and white blood cell counts,and she was diagnosed as having ITP.Both PSL alone (45mg/day for 4 weeks)and high-doseγ-globulin therapy alone (400mg/kg/day for 5 days)were transiently effective but resulted in a rapid decrease in the platelet count to under 10,000/μl. However,a combination of PSL (45mg/day,for 2 weeks)and high-doseγ-globulin (400mg/kg/day for 5 days) markedly increased her platelet count,which was maintained at over 90,000/μl.She delivered a healthy 2,050g male vaginally without complications in the 39th week of pregnancy. Although PSL was discontinued after delivery, no thrombocytopenia was observed. A combination of PSL and high-dose γ-globulin may be effective for cases of refractory ITP during pregnancy. |
資源タイプ(コンテンツの種類) |
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内容記述 |
Article |
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収録物識別子タイプ |
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収録物識別子 |
0037-3826 |
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NCID |
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収録物識別子 |
AN00120815 |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |