依诺肝素相关的既往正常脾脏破裂：休克的一种罕见原因。

Rupture of a previously normal spleen in association with enoxaparin: An unusual cause of shock.

作者信息

Burg M D, Dallara J J

机构信息

Division of Emergency Medicine, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA.

出版信息

J Emerg Med. 2001 May;20(4):349-52. doi: 10.1016/s0736-4679(01)00310-9.

DOI:10.1016/s0736-4679(01)00310-9

PMID:11348813

Abstract

We report the case of an adult male presenting in shock caused by spontaneous rupture of a pathologically normal spleen. One day before his presentation he had received a single subcutaneous injection of enoxaparin. This was the patient's only clearly identifiable risk factor for spontaneous splenic rupture. Nontraumatic splenic rupture should be included in the differential diagnosis of shock.

摘要

我们报告一例成年男性病例，该患者因病理正常的脾脏自发性破裂而出现休克。在就诊前一天，他接受了一次皮下注射依诺肝素。这是该患者自发性脾破裂唯一明确可识别的危险因素。非创伤性脾破裂应纳入休克的鉴别诊断。