Korthals J K, Korthals M A, Gonzalvo A
Department of Neurology, USF College of Medicine, Tampa, FL 33612.
Acta Neuropathol. 1994;88(3):273-5. doi: 10.1007/BF00293405.
We report a 29-year-old woman who developed severe left leg ischemia after aortic dissection and left common iliac artery occlusion. Light microscopic studies revealed severe nerve and muscle ischemic changes at the calf level. Nerves also showed extensive perineurial hemorrhage, most likely secondary to heparin administration. Perineurial hemorrhage should be considered as one of the possible complications of anticoagulant therapy.
我们报告了一名29岁女性，她在主动脉夹层和左髂总动脉闭塞后出现严重的左腿缺血。光镜检查显示小腿水平存在严重的神经和肌肉缺血性改变。神经还表现出广泛的神经束膜下出血，最有可能继发于肝素的使用。神经束膜下出血应被视为抗凝治疗可能的并发症之一。
