Title那屈肝素钙致消化道出血及腹部血肿
Other TitlesGastrointestinal hemorrhage and abdominal hematoma caused by nadroparin calcium
Authors孙丽杰
刘书旺
陈宝霞
张永珍
高炜
Affiliation北京大学第三医院心内科,北京,100191
Keywords那屈肝素钙
不良反应
消化道出血
腹部血肿
Issue Date2010
Publisher药物不良反应杂志
Citation药物不良反应杂志.2010,12,(5),348-349.
Abstract1例77岁男性患者,因拟行射频消融术,术前给予预防性抗凝治疗,皮下注射那屈肝素钙6 150 U,1次/12 h.2 d后患者出现晨起头晕、晕厥、腹痛,腹部可触及包块.停用那屈肝素钙.之后患者呕吐咖啡样胃内容物约200 mL,BP 80/50 mm Hg,HR 110 次/min.CT检查示腹部肿块.次日左侧腰腹部出现瘀斑,腹部包决明显增大,张力增高,触痛明显.Hb 74 g/L.腹部超声检查:肝周、肾周、脾周及腹腔存在少量积液.那屈肝素钙停用48 h后Hb 80 g/L.随后给予对症支持治疗,上述症状逐渐好转.停用4 d后开始进流食,未再发生消化道出血.停用4周后Hb 120 g/L,随访8个月病情稳定.
URIhttp://hdl.handle.net/20.500.11897/111651
ISSN1008-5734
DOI10.3969/j.issn.1008-5734.2010.05.012
Indexed中国科技核心期刊(ISTIC)
Appears in Collections:第三医院

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