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1例69岁冠心病、高血压女性患者服用卡托普利、阿替洛尔、硝酸异山梨酯及硝苯地平治疗2年余。入院后,患者因不稳定心绞痛加用肠溶阿司匹林0.1 g,1次/d和低分子肝素钙5 000 U,1次/12 h皮下注射。第2天,肠溶阿司匹林增加至0.3 g,1次/d;低分子肝素钙改为肝素钠800～1 500 U/h,静脉泵入。48 h后再次改为低分子肝素钙6 000 U,1次/12 h皮下注射。第5天,患者出现腹膜后血肿,出血量约1 000～1 200 ml。停用肠溶阿司匹林和低分子肝素钙,给予悬浮红细胞、巴曲酶及扩容治疗。入院第28天,CT检查示患者血肿有所吸收,2 d后出院。出院2个月CT复查示出血肿大部分吸收。
A 69-year-old coronary heart disease, hypertensive female patients taking captopril, atenolol, isosorbide dinitrate and nifedipine for more than 2 years. After admission, patients with unstable angina plus enteric-coated aspirin 0.1 g, 1 / d and low molecular weight heparin 5000 U, 1/12 h subcutaneous injection. The second day, enteric-coated aspirin increased to 0.3 g, 1 / d; low molecular weight heparin to sodium heparin 800 ~ 1 500 U / h, pumped. 48 h later changed to low molecular weight heparin 6 000 U, 1/12 h subcutaneous injection. On the fifth day, the patient developed a retroperitoneal hematoma with a blood loss of about 1 000 to 1 200 ml. Disable enteric-coated aspirin and low molecular weight heparin, give suspended red blood cells, batroxobin and dilatation treatment. On the 28th day after admission, the CT examination showed that the hematoma had been absorbed and was discharged after 2 days. Two months after discharge from the hospital, CT showed that most of the hematoma was absorbed.