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[链激酶治疗期间肝脏海绵状血管瘤严重出血]

[Severe bleeding from a cavernous hemangioma of the liver during treatment with streptokinase].

作者信息

Beckers K H, Görtz H

机构信息

Medizinische Klinik, St.-Marien-Hospital, Mülheim a. d. Ruhr.

出版信息

Dtsch Med Wochenschr. 1987 Nov 13;112(46):1782-4. doi: 10.1055/s-2008-1068329.

Abstract

Severe bleeding from a subcapsular flat haemangioma of the liver occurred in a 32-year-old woman receiving streptokinase infusion for suspected femoral vein thrombosis. The bleeding was diagnosed by ultrasound undertaken because of atypical upper abdominal symptoms: the cause of the bleeding remained unexplained. Only after the streptokinase infusion had been discontinued were there clinical signs of bleeding, which during preparation for laparotomy led to shock. After segmental resection of the left lobe of the liver and an complicated post-operative course the patient left hospital in good condition.

摘要

一名32岁女性因疑似股静脉血栓接受链激酶输注时,肝脏包膜下扁平血管瘤发生严重出血。因出现非典型上腹部症状而进行超声检查后诊断出出血情况,但出血原因仍不明。直到停用链激酶输注后才出现出血的临床体征,在准备剖腹手术期间导致休克。在对肝脏左叶进行节段性切除并经历复杂的术后过程后,患者康复出院。

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