PCI围手术期抗栓治疗致腹膜后腹腔内双血肿1例  

A Case of Double Hematoma in Retroperitoneal Cavity Caused by Antithrombotic Therapy During PCI Perioperative Period

作　　者：赵文安[1] 李维维[1] ZHAO Wen-an;LI Wei-wei(Department of Cardiology,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属第二医院心血管内科,福建泉州362000

出　　处：《海峡药学》2025年第2期95-97,共3页Strait Pharmaceutical Journal

摘　　要：目的 探究经皮冠状动脉介入治疗(Percutaneous coronary intervention, PCI)围手术期抗栓治疗致自发的腹膜后腹腔内双血肿表现及治疗经过,提供临床借鉴意义。方法 对1例年轻的不稳定心绞痛患者经桡动脉行PCI治疗,术后出现自发的腹膜后腹腔内双血肿伴休克,经急诊介入栓塞后病情稳定。结果 患者门诊随访三个多月,血红蛋白、彩超均提示未再出血。结论 桡动脉途径的PCI治疗总体并发症风险低于经股动脉途径,但高强度的抗栓治疗仍有可能出现自发出血,甚至危及生命。OBJECTIVE To explore the manifestations and treatment process of spontaneous retroperitoneal double hematoma induced by antithrombotic therapy,and to provide clinical reference.METHODS A young patient with unstable angina pectoris was treated by radial artery PCI.Spontaneous double retroperitoneal hematoma with shock was found after surgery.The condition was stable after emergency interventional embolization.RESULTS The patient was followed up for more than three months,hemoglobin and color ultrasound showed no bleeding.CONCLUSION The overall complication risk of PCI through radial artery is lower than that through femoral artery,but spontaneous bleeding may still occur after high-intensity antithrombotic therapy,even life-threatening.

关 键 词：经皮冠状动脉介入治疗 腹膜后血肿 腹腔内出血 

分 类 号：R969.4[医药卫生—药理学]