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低分子肝素钙具有快速和持续的抗血栓形成作用,且能改善血流动力学,生物利用度高,半衰期较普通肝素明显延长,而出血的危险性较低,无需实验室检测等优点[1]。在心血管内科,分子肝素钙广泛用于治疗冠心病、急性冠脉综合症、急性心肌梗死及介入治疗等,临床上通常选择腹壁皮下注射,其不良反应主要是注射部位的皮下出血。现将1例皮下注射低分子肝素钙致腹壁血肿行穿刺抽吸术报告如下。
Low molecular weight heparin calcium has a rapid and sustained antithrombotic effect, and can improve hemodynamics, high bioavailability, half-life significantly longer than unfractionated heparin, and the risk of bleeding lower, without laboratory testing and other advantages [1 ]. In cardiovascular medicine, molecular heparin calcium is widely used in the treatment of coronary heart disease, acute coronary syndrome, acute myocardial infarction and interventional therapy, the clinical choice is usually subcutaneous abdominal wall injection, the adverse reactions are mainly subcutaneous hemorrhage at the injection site. Now a case of subcutaneous injection of low molecular weight heparin caused by abdominal hematoma aspiration puncture report as follows.