Goldstein Jerome M, Sebire Dale
Department of Internal Medicine, Liverpool Hospital, Sydney, Australia
Department of Internal Medicine, Liverpool Hospital, Sydney, Australia.
J Surg Case Rep. 2013 Jul 23;2013(7):rjt060. doi: 10.1093/jscr/rjt060.
We report the case of a 59-year-old obese female who developed an abdominal wall haematoma during administration of prophylactic clexane. Compared with the non-obese, the subcutaneous tissue of the obese is considered dysfunctional and has a different vascular structure and extra-cellular matrix composition. While the development of an abdominal wall haematoma is relatively uncommon, when they occur they can have fatal consequences. The altered subcutaneous tissue environment in the obese attenuates the normal external compression of an abdominal wall haematoma and as a result the obese are at greater risk of haemorrhage.
我们报告了一例59岁肥胖女性在预防性使用克赛期间发生腹壁血肿的病例。与非肥胖者相比，肥胖者的皮下组织被认为功能失调，具有不同的血管结构和细胞外基质组成。虽然腹壁血肿的发生相对不常见，但一旦发生可能会产生致命后果。肥胖者皮下组织环境的改变削弱了腹壁血肿正常的外部压迫作用，因此肥胖者出血风险更高。
