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抗凝治疗引起的自发性腹膜后出血

[Spontaneous retroperitoneal hemorrhage induced by anticoagulation treatment].

作者信息

Fernández Ruiz M, Fernández Fernández A, Lasierra Cirujeda J, Vilades Juan E, Sánchez Beorlegui J, Pou Santonja G

出版信息

Actas Urol Esp. 1994 Feb;18(2):136-40.

PMID:7976698
Abstract

Contribution of one case of spontaneous retroperitoneal haemorrhage presented after therapy with anticoagulants. Review of causes of transperitoneal haemorrhage, relative frequency, as well as signs and symptoms, and diagnosis. The sparse number of haemorrhagic complications after anticoagulant therapy with heparin and urokinase-associated adjusted heparin are described. Treatment is instituted based on precipitating condition and, in the present case, with suppression of medication and volume replacement together with an strict evolutive monitoring by means of ultrasound, computerized axial tomography (CT) and magnetic nuclear resonance (MNR).

摘要

抗凝治疗后出现的一例自发性腹膜后出血病例报告。回顾经腹膜出血的病因、相对发生率、体征和症状以及诊断。描述了肝素和尿激酶相关调整肝素抗凝治疗后出血并发症的罕见情况。根据诱发情况进行治疗,在本病例中,停用药物并进行容量替代,同时通过超声、计算机断层扫描(CT)和磁共振成像(MNR)进行严格的病情监测。

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