与阿哌沙班相关的非创伤性脾破裂。
Atraumatic splenic rupture associated with apixaban.
作者信息
Basnet Sijan, Mohanty Elan, Mir Izza, Dhital Rashmi, Koirala Ajay, Tachamo Niranjan
机构信息
Department of Medicine, Reading Hospital and Medical Center, West Reading, PA, USA.
出版信息
SAGE Open Med Case Rep. 2019 Feb 21;7:2050313X19832490. doi: 10.1177/2050313X19832490. eCollection 2019.
Abstract
Apixaban is a direct oral anticoagulant that works by inhibiting factor Xa. It has been associated with adverse bleeding outcomes including atraumatic splenic rupture. We present the case of an 86-year-old man who presented with features of left upper abdominal pain and hemorrhagic shock found to have atraumatic splenic rupture and hemoperitoneum on imaging.
摘要
阿哌沙班是一种直接口服抗凝剂，通过抑制凝血因子Xa起作用。它与不良出血后果有关，包括非创伤性脾破裂。我们报告了一例86岁男性患者，其表现为左上腹疼痛和失血性休克，影像学检查发现有非创伤性脾破裂和腹腔积血。
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