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一名不稳定型心绞痛患者在服用阿司匹林、氯吡格雷和肝素后发生非创伤性脾破裂:病例报告

Atraumatic splenic rupture after administering aspirin, clopidogrel, and heparin to a patient with unstable angina: A case report.

作者信息

Maqboul Iyad, Daraghmeh Laith, Eleiwi Malak Raed, Qasrawi Hala, Akkawi Maha, AwadGhanem Ahmed

机构信息

Department of General Surgery and Radiology, An-Najah National Hospital, Nablus, Palestine.

出版信息

SAGE Open Med Case Rep. 2024 Jun 10;12:2050313X241259379. doi: 10.1177/2050313X241259379. eCollection 2024.

Abstract

It is a rare clinical phenomenon when a normal spleen ruptures spontaneously without any prior trauma. We present a 49-year-old male patient who was discovered to have a splenic rupture after he was referred to our facility as a case of unstable angina for cardiac catheterization based on nonspecific electrocardiogram (ECG) abnormalities and symptoms of chest discomfort coupled with abdominal pain and shortness of breath. He received aspirin, clopidogrel, and heparin before arriving at our emergency department. A splenectomy was performed for the patient, and he recovered well. Despite the rarity of spontaneous splenic rupture, physicians must consider it while evaluating elderly patients who are experiencing abdominal pain while on anticoagulants. Splenic rupture should always be considered, and early diagnosis is essential for a better outcome.

摘要

正常脾脏在无任何先前创伤的情况下自发破裂是一种罕见的临床现象。我们报告一名49岁男性患者,他因非特异性心电图(ECG)异常、胸部不适症状以及腹痛和呼吸急促,作为不稳定型心绞痛病例被转诊至我院进行心脏导管插入术,之后被发现存在脾破裂。在抵达我们急诊科之前,他接受了阿司匹林、氯吡格雷和肝素治疗。为该患者实施了脾切除术,他恢复良好。尽管自发性脾破裂罕见,但医生在评估正在接受抗凝治疗且出现腹痛的老年患者时必须考虑到这一情况。应始终考虑脾破裂,早期诊断对于获得更好的结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cee0/11165948/4f1787dc3539/10.1177_2050313X241259379-fig1.jpg

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