Satiani B, Savrin R, Evans W E
J Cardiovasc Surg (Torino). 1979 May-Jun;20(3):273-8.
Consumption coagulopathy resulting from arterial aneurysm is an uncommon entity. Two patients, one with a femoral artery aneurysm and one with an abdominal aortic aneurysm containing fresh blood clot associated with a coagulopathy are presented. Reasonable preoperative control of the bleeding disorder with appropriate blood products followed by aneurysmectomy is recommended. Except to treat severe bleeding disorders associated with arterial aneurysms, heparin therapy is rarely necessary, as spontaneous reversal of the coagulopathy usually occurs. A high index of suspicion for the presence of an underlying arterial aneurysm as the cause for the consumption coagulopathy is necessary when no other etiology is obvious.
由动脉动脉瘤引起的消耗性凝血病是一种罕见的病症。本文报告了两名患者，一名患有股动脉瘤，另一名患有腹主动脉瘤且伴有新鲜血凝块及凝血病。建议术前合理使用适当的血液制品控制出血性疾病，随后进行动脉瘤切除术。除了治疗与动脉动脉瘤相关的严重出血性疾病外，肝素治疗很少必要，因为凝血病通常会自发缓解。当没有其他明显病因时，高度怀疑存在潜在的动脉动脉瘤作为消耗性凝血病的病因是必要的。
