Treatment of vitamin K-dependent coagulation factor deficiency and subarachnoid hemorrhage
Journal Title: World Journal of Emergency Medicine - Year 2011, Vol 2, Issue 1
Abstract
BACKGROUND: In adults, vitamin K-dependent coagulation factor deficiency (VKCFD) increases in the recent years. We treated a VKCFD patient with subarachnoid hemorrhage, with favorable outcomes. METHODS: A 19-year-old male student with VKCFD was treated at our hospital. The initial treatment was injection of a large dose of vitamin K and fresh plasma, and then with oral high dose of vitamin K4. RESULTS: At 4 weeks after admission, the focus of hemorrhage subsided, neurological examination was normal, and the patient was discharged. CONCLUSIONS: VKCFD is rare and its diagnosis should be based on the history of the patient and the results of laboratory examinations. A large dose of vitamin K is the first choice of treatment.
Authors and Affiliations
Keywords
Related Articles
- EP ID EP473619
- DOI -
- Views 44
- Downloads 0
Blue code: Is it a real emergency?
BACKGROUND: Cardiac arrests in hospital areas are common, and hospitals have rapid response teams or "blue code teams" to reduce preventable in-hospital deaths. Education about the rapid response team has been provided i...
Evaluation and treatment of altered mental status patients in the emergency department: Life in the fast lane
BACKGROUND: Altered mental status (AMS) is a very common emergency case, but the exact etiology of many AMS patients is unknown. Patients often manifest vague symptoms, thus, AMS diagnosis and treatment are highly challe...
Error reporting in the emergency department: do we do what we say we do?
BACKGROUND: The Joint Commission accreditation manual contains standards in improving organization performance related to report and review of patient care issues causing unexpected harm. In spite of regulations mandatin...
Factors affecting daily activities of patients with cerebral infarction
BACKGROUND: Stroke is the leading cause of death and long-term disability. This study was undertaken to investigate the factors influencing daily activities of patients with cerebral infarction so as to take intervention...
Expression of high mobility group protein B1 in the lungs of rats with sepsis
BACKGROUND: Vibrio vulnificus inside the body could activate the NF-κB signaling pathway and initiate the inflammatory cascade. The lung is one of the earliest organs affected by sepsis associated with acute lung injury....