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High-sensitivity to heparin associates with cell salvage transfusion in adolescent idiopathic scoliosis patient undergoing posterior spinal fusion

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收录情况： ◇ SCIE

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机构： [1]Department of Anesthesiology, Sichuan Cancer Hospital, No. 55, People’s South Road, Chengdu 610041, Sichuan, China [2]Department of Anesthesiology, West China Hospital of Sichuan University, No. 37, Guoxue Alley, Chengdu 610041, Sichuan, China

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关键词： Cell saver coagulopathy heparin hypersensitive posterior spinal fusion adolescent idiopathic scoliosis

摘要：

A 16-year-old male with adolescent idiopathic scoliosis was scheduled for the posterior spinal fusion (PSF) under general anesthesia. The cell saver was routinely prepared preoperatively and 400 ml of salvaged red blood cells were transfused during the surgery. After the cell salvage transfusion, the oozing of blood in surgical wounds occurred and the activated coagulation time (ACT) of the arterial blood was 999 s, considering the possibility of the residual heparin in the cell salvage, 30 mg of protamine was injected intravenously, 5 min later the ACT dropped to 125 s. After the therapy, the surgical procedure was performed successfully. After the procedure was over, the patient went back to the ward with normal coagulation function indicators. 11 days later, the patient was discharged home without complications. We present this case of coagulopathy caused by minor cell salvage transfusion and wish to highlight the importance of the blood coagulation monitoring that can be overlooked in these situations.

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出版当年[2014]版：

大类 | 4 区医学

小类 | 4 区医学：研究与实验

最新[2023]版：

无

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出版当年[2014]版：

Q4 MEDICINE, RESEARCH & EXPERIMENTAL

最新[2023]版：

Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子： 0.2 最新[2023版] 0.2 最新五年平均 1.277 出版当年[2014版] 1.412 出版当年五年平均 1.422 出版前一年[2013版] 1.075 出版后一年[2015版]

第一作者：

第一作者机构： [1]Department of Anesthesiology, Sichuan Cancer Hospital, No. 55, People’s South Road, Chengdu 610041, Sichuan, China

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通讯作者：

通讯机构： [1]Department of Anesthesiology, Sichuan Cancer Hospital, No. 55, People’s South Road, Chengdu 610041, Sichuan, China [*1]Department of Anesthesiology, Sichuan Cancer Hospital, No. 55, People’s South Road, Chengdu 610041, Sichuan, China.

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