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[腹腔镜胆囊切除术后因酮咯酸导致肝包膜下血肿破裂引起的腹腔积血。一例报告]

[Hemoperitoneum from rupture of liver subcapsular hematoma after laparoscopic cholecystectomy attributed to ketorolac. Report of a case].

作者信息

Guercio G, Sandonato L, Cintorino D, Ricotta C, Diana G

机构信息

Azienda Ospedaliera Universitaria Policlinico P. Giaccone, Palermo, Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'organo, Unità Operativa Complessa di Chirurgia Generale e Geriatria.

出版信息

G Chir. 2008 Aug-Sep;29(8-9):351-3.

Abstract

Ketorolac is one of the most common nonsteroidal anti-inflammatory drugs used to control postoperative pain. However, peri- and postoperative administration of ketorolac is associated with an increased risk of gastrointestinal bleeding as described in the literature. Notwithstanding this event is not frequent, it can expose the patient to serious complications that should be quickly recognised and effectively treated. We present a report about a female patient with cholelithiasis who underwent a laparoscopic cholecystectomy. After the operation, the patient had a haemorrhage that we attributed to surgery in a first time and then to administration of ketorolac.

摘要

酮咯酸是用于控制术后疼痛的最常用非甾体抗炎药之一。然而,如文献所述,围手术期和术后使用酮咯酸会增加胃肠道出血的风险。尽管这种情况并不常见,但它可能使患者面临严重并发症,这些并发症应迅速识别并有效治疗。我们报告一例患有胆结石的女性患者,她接受了腹腔镜胆囊切除术。术后,患者出现出血,我们起初将其归因于手术,后来归因于酮咯酸的使用。

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