一例因静脉曲张出血导致的罕见死亡病例报告。
Unusual death due to a bleeding from a varicose vein: a case report.
作者信息
Fragkouli Kleio, Mitselou Antigoni, Boumba Vassiliki A, Siozios George, Vougiouklakis George T, Vougiouklakis Theodore
机构信息
Department of Forensic Medicine and Toxicology, University of Ioannina, Ioannina, Greece.
出版信息
BMC Res Notes. 2012 Sep 5;5:488. doi: 10.1186/1756-0500-5-488.
BACKGROUND
Varicose veins are a common entity presenting a worldwide distribution. Although they are usually benign, sometimes are proved to be a threatening condition. Massive hemorrhage is an unusual complication of this common venous pathology that demands immediate medical intervention.
CASE PRESENTATION
We present a case of a 66-year-old woman found dead in her house surrounded by a large quantity of blood. Autopsy revealed a 7 mm ulcer on the internal surface of the left lower leg communicating with a varicose vein, signs of exsanguinations and liver cirrhosis. Toxicological analysis was negative.
CONCLUSION
Massive hemorrhage from a ruptured varicosity is a severe medical emergency. Awareness of the risk of massive hemorrhage may provoke preventive treatment to be undertaken so as terminal loss of consciousness and a subsequent unattended death to be averted.
背景
静脉曲张是一种在全球范围内普遍存在的病症。尽管它们通常是良性的，但有时也被证明是一种具有威胁性的状况。大出血是这种常见静脉病变的一种不寻常并发症，需要立即进行医疗干预。
病例报告
我们报告一例66岁女性，被发现死于家中，周围有大量血迹。尸检发现左小腿内表面有一个7毫米的溃疡，与一条静脉曲张相通，有失血迹象和肝硬化。毒理学分析为阴性。
结论
曲张静脉破裂导致的大出血是一种严重的医疗紧急情况。认识到大出血的风险可能会促使采取预防性治疗，从而避免意识最终丧失和随后无人照料的死亡。
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