Intra-Abdominal Hematoma Following Enoxaparin Injection.
Intra-Abdominal Hematoma Following Enoxaparin Injection.
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DOI：
10.4137/ccrep.s17881
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Chung KT
中科院分区：
文献类型：
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作者：
Chung KT
一名老年患者，因疑似深静脉血栓形成接受治疗性依诺肝素治疗几天，在虚脱和严重腹痛后入院。她处于低血容量性休克，并进行了液体复苏。超声波扫描和计算机断层扫描（CT）显示一个大的盆腔血肿。放射科医生还怀疑CT血管造影后腹壁下动脉出血的可能性。患者病情稳定，转入重症监护室（ICU）接受进一步血流动力学支持和密切监测。患者病情稳定后，被转回普通病房。由于没有更多活动性出血迹象，对她进行了保守治疗。不幸的是，她在ICU出院后三天死于反复出血。
An elderly patient, who was being treated for therapeutic enoxaparin for a couple of days due to suspected deep vein thrombosis, was admitted to hospital following a collapse and severe abdominal pain. She was in hypovolemic shock and was fluid resuscitated. Ultrasound scan and computed tomography (CT) scan showed a large pelvic hematoma. Radiologists also suspected a possibility of bleeding from inferior epigastric artery following a CT angiogram. The patient was stabilized and transferred to intensive care unit (ICU) for further hemodynamic supports and close monitoring. The patient was then transferred back to the general ward when she was stable. She was managed conservatively as there were no more signs of active bleeding. Unfortunately, she died of recurrent bleeding three days after ICU discharge.