Ho K J, Gawley S D, Young M R A
Department of Urology, Craigavon Hospital, Portadown, Co Armagh.
Int J Clin Pract. 2003 Jul-Aug;57(6):553-4.
Haemorrhage into the iliopsoas muscle causing femoral neuropathy is an infrequent complication of haemophilia or anticoagulant therapy. The association of an iliopsoas haematoma with enoxaparin therapy is very rare. We describe a case of femoral neuropathy secondary to psoas haematoma in a patient who was on enoxaparin therapy for suspected non-Q wave myocardial infarction. There is no clear consensus for the treatment of these haematomas, with both surgical and conservative options advocated. In this case, our patient recovered fully following conservative management.
髂腰肌出血导致股神经病变是血友病或抗凝治疗中罕见的并发症。髂腰肌血肿与依诺肝素治疗相关的情况非常罕见。我们描述了一例在因疑似非Q波心肌梗死接受依诺肝素治疗的患者中，继发于腰大肌血肿的股神经病变病例。对于这些血肿的治疗尚无明确共识，手术和保守治疗方案均有人主张。在本病例中，我们的患者经保守治疗后完全康复。
