来自水母头的失血性出血：皮肤静脉曲张出血。

Exsanguinating hemorrhage from a caput medusae: cutaneous variceal bleeding.

作者信息

Bahner D R, Holland R W

机构信息

Division of Emergency Medicine, University of Florida Health Science Center, Jacksonville.

出版信息

J Emerg Med. 1992 Jan-Feb;10(1):19-23. doi: 10.1016/0736-4679(92)90005-e.

DOI:10.1016/0736-4679(92)90005-e

PMID:1629586

Abstract

We report the case of a 45-year-old female who presented to the emergency department with massive umbilical hemorrhage from a cutaneous varix. The patient had a long-standing history of alcohol-related liver disease and ascites. Her clinical course was complicated by coagulopathy and hemorrhagic shock, and she ultimately expired. Ectopic or nongastroesophageal bleeding constitutes a significant site of variceal hemorrhage. In this report we review the literature and explore methods of treatment.

摘要

我们报告了一例45岁女性患者，她因皮肤静脉曲张导致大量脐部出血而被送往急诊科。该患者有长期酒精性肝病和腹水病史。她的临床病程因凝血功能障碍和失血性休克而复杂化，最终死亡。异位或非食管出血是静脉曲张出血的一个重要部位。在本报告中，我们回顾了文献并探讨了治疗方法。