| 吕俊杰,胡春秀.灭鼠药物中毒后黄体破裂 1例并文献复习[J].安徽医药,2022,26(2):399-401. |
| 灭鼠药物中毒后黄体破裂 1例并文献复习 |
| A case of special corpus luteum rupture and literature review |
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| DOI：10.3969/j.issn.1009-6469.2022.02.045 |
| 中文关键词: 卵巢囊肿 黄体破裂 凝血功能 灭鼠剂 |
| 英文关键词: Ovarian cysts Luteum rupture Coagulation function Rodenticide |
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| 中文摘要: |
| 目的探讨特殊黄体破裂临床特点，以提高诊治水平。方法对 1例灭鼠剂中毒继发黄体破裂临床资料进行回顾，分析其临床特征、实验室及器械检查、治疗与转归并进行相关文献的复习。结果病人因“右侧腰腹部疼痛 2d”就诊，查凝血功能指标明显异常， B超及 CT检查提示腹盆腔积液，左卵巢内异常回声，诊断黄体破裂，行剖腹探查术，术中见盆腔积血仅约 500 mL，左卵巢黄体见约 0.5 cm破裂口伴出血，行左卵巢黄体剔除 +修补术，术后监测凝血指标仍反复异常，寻找原发病因为灭鼠剂中毒，予维生素 K1连续治疗 1周，病人各项指标逐渐恢复正常。结论黄体破裂临床表现及辅助检查不典型、术中所见与症状及体征严重不符、术后病情反复时，需警惕特殊原发病因存在可能，避免延误治疗。 |
| 英文摘要: |
| Objective To explore the clinical characteristics of special corpus luteum rupture in order to improve the level of diagno. sis and treatment.Methods The clinical data of a case of rodenticide poisoning secondary corpus luteum rupture was reviewed, andits clinical characteristics, laboratory and device inspection, treatment and outcome were analyzed, and relevant literatures were re.viewed.Results The patient went to see a doctor for "right waist and abdomen pain for 2 days"and found that the coagulation functionindex was obviously abnormal. B-ultrasound and CT examination showed abdominal and pelvic effusion, abnormal echo in the left ova.ry, diagnosis of corpus luteum rupture, laparotomy. During the operation, pelvic hematocele was found to be only about 500mL, left ova.ry corpus luteum was found to be about 0.5cm rupture with hemorrhage, left ovary corpus luteum removal and repair was performed. Af.ter the operation, the coagulation index was still repeatedly abnormal, and the primary disease was found to be due to rodenticide poi.soning. After continuous treatment with vitamin K1 for one week, all indexes of the patient gradually returned to normal.Conclusion When clinical manifestations and auxiliary examinations of corpus luteum rupture are atypical, what is seen during operation is serious.ly inconsistent with symptoms and signs, and the postoperative condition is repeated, it is necessary to guard against the possibility ofspecial primary disease and avoid delaying treatment. |
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