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本文报告采用葡萄球菌蛋白A进行血浆免疫吸附治愈1例获得性FⅧIgG抑制物患者的急性出血。患者男性,70岁,因经直肠行前列腺穿刺活检后持续10天直肠严重出血而入院,活检前,周期性血尿达3个月,此前未曾有出血、碰伤也无家族出血史。3年前因心肌梗塞予以普鲁卡因酰胺治疗。体检示仅直肠出血。实验室检查:血小板计数350×10~9/L,凝
This article reports the use of staphylococcal protein A for plasma immunosorbent to treat acute bleeding in 1 patient with acquired FⅧIgG inhibitor. The patient, male, 70 years old, was admitted to the hospital for severe rectal bleeding after 10 days of transrectal prostate biopsy. Before biopsy, hematuria occurred for 3 months. There was no previous bleeding or bruising or family history of bleeding. 3 years ago due to myocardial infarction procainamide treatment. Physical examination showed only rectal bleeding. Laboratory tests: Platelet count 350 × 10 ~ 9 / L, coagulation