Utoh J, Kunitomo R, Hara M, Hagiwara S, Uemura S, Uemura E, Kitamura N
First Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan.
J Cardiovasc Surg (Torino). 2001 Apr;42(2):245-8.
The authors report a case of a 70-year-old man, with repeating episodes of systemic subdermal hematoma due to consumption coagulopathy associated with abdominal aortic aneurysm and the bilateral femoral arterial aneurysms. Prior to the first operation for abdominal aortic repair, anticoagulation therapy was applied to treat thrombocytopenia and hypofibrinogenemia. Five years following the first surgery, the same treatment was required before resection of the femoral lesions. Consumption coagulopathy is seen in approximately 1-4% population of aortic aneurysms, however, repeated appearance of symptomatic coagulopathy is rarely reported. Anticoagulation therapy was effective to normalize the coagulation and fibrinolytic system and followed by uneventful surgical resection of the aneurysms.
作者报告了一例70岁男性病例，该患者因与腹主动脉瘤及双侧股动脉瘤相关的消耗性凝血病而反复出现系统性皮下血肿。在首次进行腹主动脉修复手术前，应用抗凝治疗来治疗血小板减少症和低纤维蛋白原血症。首次手术后五年，在切除股部病变前需要进行同样的治疗。消耗性凝血病在大约1% - 4%的主动脉瘤患者中可见，然而，有症状的凝血病反复出现的情况鲜有报道。抗凝治疗有效使凝血和纤维蛋白溶解系统恢复正常，随后顺利进行了动脉瘤的手术切除。
