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Bilateral rectal sheath hematomas after low-molecular weight heparin treatment in uremia.尿毒症患者低分子量肝素治疗后双侧直肠鞘膜血肿
Ren Fail. 2017 Nov;39(1):414-416. doi: 10.1080/0886022X.2017.1305406.
2
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本文引用的文献

1
Rectus sheath hematoma: a review of the literature.腹直肌鞘血肿：文献回顾。
Int J Surg. 2015 Jan;13:267-271. doi: 10.1016/j.ijsu.2014.12.015. Epub 2014 Dec 19.
2
Rectus sheath hematoma: a simplified emergency surgical approach.腹直肌鞘血肿：一种简化的急诊手术方法。
Open Cardiovasc Med J. 2011;5:4-5. doi: 10.2174/1874192401105010004. Epub 2011 Feb 4.
3
Hematoma of the rectus abdominis muscle; report of a case and analysis of 100 cases from the literature.腹直肌血肿；1例报告及文献中100例病例分析
Am J Surg. 1946 May;71:689-95. doi: 10.1016/0002-9610(46)90453-9.
4
Preoperative diagnosis of obscure gastrointestinal bleeding due to a GIST of the jejunum: a case report.空肠胃肠道间质瘤致隐匿性胃肠道出血的术前诊断：一例报告
Cases J. 2009 Nov 25;2:9088. doi: 10.1186/1757-1626-2-9088.
5
Hemorrhagic shock and obstructive uropathy due to a large rectus sheath hematoma in a patient on anticoagulant therapy.一名接受抗凝治疗的患者因腹直肌鞘巨大血肿导致出血性休克和梗阻性尿路病。
Intern Med. 2009;48(24):2119-22. doi: 10.2169/internalmedicine.48.2440.
6
Rectus sheath hematoma in an elderly woman under anti-coagulant therapy.接受抗凝治疗的老年女性发生腹直肌鞘血肿。
J Med Invest. 2001 Aug;48(3-4):216-20.
7
Reduced platelet thromboxane formation in uremia. Evidence for a functional cyclooxygenase defect.尿毒症患者血小板血栓素生成减少。环氧化酶功能缺陷的证据。
J Clin Invest. 1983 Mar;71(3):762-8. doi: 10.1172/jci110824.
8
"Spontaneous" hematoma of the rectus abdominis muscle: critical review of 50 cases with emphasis on early diagnosis and treatment.腹直肌“自发性”血肿：50例病例的批判性综述，重点关注早期诊断与治疗
Surgery. 1972 Oct;72(4):568-72.
9
Massive abdominal wall hematoma: real-time ultrasound localization of bleeding.巨大腹壁血肿：出血的实时超声定位
J Ultrasound Med. 1985 Mar;4(3):157-8. doi: 10.7863/jum.1985.4.3.157.

尿毒症患者低分子量肝素治疗后双侧直肠鞘膜血肿

Bilateral rectal sheath hematomas after low-molecular weight heparin treatment in uremia.

作者信息

Xu Lu, Liu Lei, Li Xinjian

机构信息

a Department of Hemopurification, Affiliated Hospital of Jining Medical College , Jining , Shandong , China.

b Department of Nephrology , Affiliated Hospital of Jining Medical College , Jining , Shandong , China.

出版信息

Ren Fail. 2017 Nov;39(1):414-416. doi: 10.1080/0886022X.2017.1305406.

DOI:10.1080/0886022X.2017.1305406
PMID:28330422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6014500/
Abstract

Rectus sheath hematomas (RSHs) are uncommon. They are usually unilateral and rarely bilateral. In this paper, we report the first case of spontaneous bilateral RSHs in a uremic patient after the administration of the first dose of low-molecular weight heparin during hemodialysis. The most interesting aspect of this case is that the main symptom of RSH in our patient was urinary bladder irritation. We highlight the importance of the prompt diagnosis and management of this medical emergency.

摘要

腹直肌鞘血肿（RSHs）并不常见。它们通常是单侧的，很少双侧出现。在本文中，我们报告了首例在血液透析期间给予首剂低分子量肝素后，一名尿毒症患者发生自发性双侧腹直肌鞘血肿的病例。该病例最有趣的方面是，我们患者腹直肌鞘血肿的主要症状是膀胱刺激征。我们强调了对这种医疗急症进行及时诊断和处理的重要性。