A case of massive intrathecal hematoma of the rectus abdominis secondary to acute severe carbon monoxide poisoning

VernacularTitle:急性重度一氧化碳中毒继发腹直肌鞘内巨大血肿1例
Author: Huanchao ZENG ¹ ; Zhenglin QUAN ; Zhicheng FANG ; Xianyi YANG
Author Information

1. 十堰市太和医院（湖北医药学院附属医院）急诊科，十堰　442012
Keywords: Carbon monoxide poisoning; Rectus abdominis; Intrathecal hematoma; Interventional embolization
From: Chinese Journal of Industrial Hygiene and Occupational Diseases 2024;42(7):537-540
CountryChina
Language:Chinese
Abstract: Acute carbon monoxide poisoning can cause hypoxic injury to multiple organs. Neurological impairment and cardiac dysfunction are common manifestations of severe poisoning patients, but hemorrhagic complications are rare in clinic. The clinical diagnosis and treatment of a case of massive intrathecal hematoma of the rectus abdominis secondary to acute severe carbon monoxide poisoning was reported. The pathophysiological mechanism and treatment strategy of rectus sheath hematoma secondary to acute severe carbon monoxide poisoning was analyzed, in order to improve the understanding of hemorrhagic complications of carbon monoxide poisoning. This case suggests that for patients with a history of cardiovascular disease and taking anticoagulants, clinicians should be alert for the risk of bleeding when making medical decisions.