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[肝硬化患者腹腔内静脉曲张破裂导致自发性血腹。临床病例]

[Spontaneous hemoperitoneum caused by intraabdominal variceal rupture in a patient with liver cirrhosis. Clinical case].

作者信息

Moreno Juan Pablo, Piña Rolando, Rodríguez Francisco, Korn Owen

机构信息

Servicio de Emergencia y Departamento de Cirugía, Hospital Clínico Universidad de Chile, Santos Dumont 999, Santiago, Chile.

出版信息

Rev Med Chil. 2002 Apr;130(4):433-6.

Abstract

Spontaneous hemoperitoneum secondary to intraabdominal variceal rupture, is an uncommon and highly lethal complication of cirrhosis. We report a case of a 68 years old male submitted because of abdominal pain and fainting. The clinical and laboratory work up concluded that the patient had cirrhosis and hemoperitoneum. He was operated on and the exploration showed a massive hemoperitoneum caused by bleeding gastrosplenic varices. The patient died in the immediate postoperative period.

摘要

腹腔内静脉曲张破裂继发的自发性血腹是肝硬化一种罕见且致死率很高的并发症。我们报告一例68岁男性患者,因腹痛和昏厥前来就诊。临床和实验室检查结果显示该患者患有肝硬化和血腹。对其进行了手术,术中探查发现胃脾静脉曲张出血导致大量血腹。患者在术后即刻死亡。

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