超声诊断臀部肌肉注射致假性动脉瘤1例
CHINESE JOURNAL OF ULTRASONOGRAPHY（2009）
Abstract
患者男性,59岁.主因臀部肌肉注射胃复安后出现注射部位隆起和疼痛就诊.患者因乙状结肠癌于6个月前行"直肠肿瘤乙状结肠切除术",术后接受常规化疗.此次化疗前血小板77×10~9/L,凝血酶原国际标准化比值(INR)2.70,凝血酶原时间33.8 s,化疗期间因出现恶心、呕吐而于臀部肌肉注射胃复安.患者因心内膜炎行二、三尖瓣置换术,术后口服华法令2.5 mg/d.查体:左侧臀部可见局部隆起,皮肤略青紫,可触及约10.0 cm× 5.0 cm大小包块,有压痛,触诊有搏动感.
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