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妊娠期间的腹直肌鞘血肿：一例报告

Rectus sheath hematoma in pregnancy: a case report.

作者信息

Anwari Lida

机构信息

Department of Obstetrics & Gynaecology, Royal Free Hospital, Pond Street, Hampstead, London NW3 2QG, United Kingdom.

出版信息

Radiol Case Rep. 2020 Aug 25;15(10):2022-2025. doi: 10.1016/j.radcr.2020.08.001. eCollection 2020 Oct.

DOI:10.1016/j.radcr.2020.08.001
PMID:32874404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7452068/
Abstract

This clinical study reports a case of rectus sheath hematoma in a 32-year-old woman with a pregnancy at 33 weeks of gestation, who developed acute right-sided abdominal pain following anticoagulant administration for pulmonary embolism. The rectus sheath hematoma was identified during an emergency cesarean section initiated due to severe fetal bradycardia. The present case would have been easy to manage prenatally if the presence of rectus sheath hematoma had been added as a differential diagnosis. For future cases, timely recognition and therapy could help prevent premature cesarean delivery.

摘要

本临床研究报告了一例32岁、孕33周的孕妇发生腹直肌鞘血肿的病例，该孕妇在接受肺栓塞抗凝治疗后出现急性右侧腹痛。在因严重胎儿心动过缓而进行的急诊剖宫产术中发现了腹直肌鞘血肿。如果将腹直肌鞘血肿作为鉴别诊断之一，本病例在产前本可易于处理。对于未来的病例，及时识别和治疗有助于预防过早剖宫产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/49a2645e7023/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/55160b83b4ba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/5f94d6bb6bd0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/728d6aa7e02a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/49a2645e7023/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/55160b83b4ba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/5f94d6bb6bd0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/728d6aa7e02a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e8/7452068/49a2645e7023/gr4.jpg

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本文引用的文献

1
Abdominal compartment syndrome due to spontaneous rectus sheath hematoma with extension into the retroperitoneal space.自发性腹直肌鞘血肿并蔓延至腹膜后间隙导致的腹腔间隔室综合征。
J Surg Case Rep. 2017 Nov 21;2017(11):rjx226. doi: 10.1093/jscr/rjx226. eCollection 2017 Nov.
2
Spontaneous rectus sheath hematoma in pregnancy and a systematic anatomical workup of rectus sheath hematoma: a case report.妊娠期自发性腹直肌鞘血肿及腹直肌鞘血肿的系统解剖学检查：病例报告
J Med Case Rep. 2016 Oct 19;10(1):292. doi: 10.1186/s13256-016-1081-6.
3
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.
4
Management of patients with rectus sheath hematoma: Personal experience.腹直肌鞘血肿患者的管理：个人经验
J Formos Med Assoc. 2015 Jul;114(7):647-51. doi: 10.1016/j.jfma.2013.04.016. Epub 2013 Jun 18.
5
Spontaneous rectus sheath hematoma pregnancy: case report and review of the literature.自发性腹直肌鞘血肿妊娠：病例报告及文献复习。
Obstet Gynecol Surv. 2010 Aug;65(8):517-22. doi: 10.1097/OGX.0b013e3181f87eaf.
6
The changing nature of rectus sheath haematoma: case series and literature review.腹直肌鞘血肿的变化本质：病例系列及文献综述
Int J Surg. 2009 Apr;7(2):150-4. doi: 10.1016/j.ijsu.2009.01.007. Epub 2009 Feb 5.
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Spontaneous rectus sheath hematoma.自发性腹直肌鞘血肿
Can J Surg. 2003 Oct;46(5):390.
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Conservative treatment of large rectus sheath hematoma in patients undergoing anticoagulant therapy.抗凝治疗患者巨大腹直肌鞘血肿的保守治疗
Abdom Imaging. 2000 May-Jun;25(3):230-4. doi: 10.1007/s002610000007.
9
The use of ultrasound to differentiate rectus sheath hematoma from other acute abdominal disorders.使用超声鉴别腹直肌鞘血肿与其他急性腹部疾病。
Surg Endosc. 1999 Nov;13(11):1129-34. doi: 10.1007/s004649901188.
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Rectus sheath hematoma.腹直肌鞘血肿
Ann Emerg Med. 1999 Nov;34(5):671-5. doi: 10.1016/s0196-0644(99)70172-1.