住院期间抗凝和类固醇治疗引发自发性腹直肌鞘血肿致死病例
Fatal Case of Spontaneous Rectus Sheath Hematoma Caused by Anticoagulant and Steroid Therapy during Hospital Admission.
作者信息
Romic Ivan, Pavlek Goran, Mance Marko, Romic Marijan, Moric Trpimir
机构信息
Department of Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Department of Surgery, University Hospital 'Sestre milosrdnice', Zagreb, Croatia.
出版信息
Visc Med. 2018 Jul;34(3):225-227. doi: 10.1159/000485941. Epub 2018 Jan 31.
Abstract
BACKGROUND
Rectus sheath hematoma (RSH) is a rare but potentially dangerous clinical entity that requires medical supervision.
CASE REPORT
Here we discuss one such case which describes the fatal course of spontaneous RSH during hospital admission.
CONCLUSION
Usually, RSH presents as a minimal abdominal wall swelling with self-limiting course but in the case of hematoma and size progression, specific conservative or invasive measures are necessary to prevent serious complications including hypovolemic shock and death.
摘要
背景
腹直肌鞘血肿（RSH）是一种罕见但潜在危险的临床病症，需要医学监测。
病例报告
在此我们讨论这样一个病例，该病例描述了住院期间自发性腹直肌鞘血肿的致命病程。
结论
通常，腹直肌鞘血肿表现为腹壁轻度肿胀且病程自限，但在血肿及大小进展的情况下，需要采取特定的保守或侵入性措施以预防包括低血容量性休克和死亡在内的严重并发症。
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