Complicated Hemothorax after Administration of Aspirin, Dipyridamole and Nadroparine for Brain Infarction-A Case Report

心肺復甦術及以Aspirin、Dipyridamole、Nadroparine治療腦梗塞之後所造成的延遲性血胸－病例報告

朱建民(Chien-Ming Chu) ； 吳黃平(Huang-Pin Wu) ； 謝文斌(Wen-Bin Shieh) ； 花仲涇(Chung-Ching Hua)

《胸腔醫學》 21卷4期 (2006/08) Pp. 376-381

https://doi.org/10.29806/TM.200608.0011

摘要

一位七十五歲男性病患因嗆到而被送到基隆長庚醫院急診室。在施行心肺復甦術後，此病患成功被救回。接下來所拍攝的胸部X光片顯示除左側肺炎外，並無肋骨骨折。在施行心肺復甦術後，此病患七天仍未清醒。神經內科醫師診斷為腦梗塞，於是我們給予Aspirin、Dipyridamole、Nadroparine治療。六天後，左前臂出現瘀斑，產生左側血胸，紅血球比容計下降到21.6%，需要胸管引流及輸血。抗凝血藥物立刻被停止使用，而血胸也不再发生。對於合併使用Aspirin、Dipyridamole、Nadroparine的病患，必須考慮併發血胸的可能性。

關鍵字

血胸 ； nadroparine

並列摘要

A 75-year-old man arrived at the Keelung Chang-Gung Hospital emergency department due to a choking episode. CPR was successfully performed. A chest radiography done afterward revealed pneumonia located in the left lung, with no evidence of rib fracture. The patient remained unconscious for 7 days after our administration of CPR. The attending neurologist diagnosed a brain infarction, for which aspirin, dipyridamole and nadroparine were prescribed. Progressive ecchymosis on the left forearm and hemothorax in the left chest developed 6 days after administration of ASA and LMWH, resulting in a 21.6% decrease in hematocrit. The hemothorax required tube thoracostomy and a blood transfusion. Aspirin, dipyridamole and nadroparine were discontinued and the hemothorax did not recur. The possibility of complicated hemothorax must be considered in patients for whom low molecular weight heparin, aspirin, and dipyridamole are concurrently prescribed.

並列關鍵字

hemothorax ； nadroparine