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静脉注射头孢噻肟致严重凝血功能障碍1例

胡娟妮,张吉刚,朱冠华,杨红艳

China Pharmacist（2020）

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Abstract
1 病例资料 患者,女,44岁,因"呕血6小时余"收入我院ICU病房,患者既往脾功能亢进20余年,未予重视;否认高血压糖尿病冠心病等,否认药物过敏史.入院体检:T 37. 0℃,P 85次/min,R 20次/min,BP 109/78 mmHg;神志清楚;双肺呼吸音清,心、腹检查未见异常.胃镜示食管静脉曲张破裂伴出血,胸部CT示脾大,血常规:Hb 105 g·L-1,Plt 48×109·L-1.入院诊断:食管静脉曲张伴出血、脾大、脾功能亢进.
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