自发大腿肌间血肿1例（Spontaneous thigh muscle hematoma in 1 cases）.docVIP

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自发大腿肌间血肿1例（Spontaneous thigh muscle hematoma in 1 cases）.doc

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自发大腿肌间血肿1例（Spontaneous thigh muscle hematoma in 1 cases）

自发大腿肌间血肿1例（Spontaneous thigh muscle hematoma in 1 cases） Spontaneous thigh muscle hematoma in 1 cases This article source: paper / Yuan Wei, Tan Rong, Ma Gang, Zhang, founding party, Wang Dong, Wang Meng Keywords spontaneous; lower limb; intermuscular hematoma; 1 clinical information Patients, male, 19 years old, soldiers, on the afternoon of May 1, 2011 guard suddenly appeared left thigh pain, for pulling pain like the pain, no radiation, then with no special treatment, continue to stand, the symptoms gradually worsened, gradually affected limb activity. The patients in our hospital on time. The history of the disease, the patient before the onset of no trauma history, no strenuous activities and high-intensity training, no previous similar symptoms of attack, the family also no bleeding disease history. Physical examination: the middle of the left thigh swelling, touched slightly hard, thigh skin is normal, no abnormal vascular dilatation, subcutaneous ecchymosis. There is tenderness in the middle and left side of the left thigh, no swelling on the left knee, active knee flexion, and normal range of passive motion. 10cm, 15cm and 20cm were measured on both lower limbs. The circumference of the thighs were left 46.2cm, 49.5cm, 51.7cm, right 44cm, 47.5cm, 50.4cm. After admission, laboratory examination showed normal coagulation function (fibrinogen diluted prothrombin time: 1.86; 10.9s; international normalized ratio 0.94; prothrombin activity 114; thrombin time 16.6s; activated partial thromboplastin time 30.8s fibrinogen degradation product; 0.90 g/ml; two D-D dimer, 82ng/ml) in May 4, 2011 to check the left lower extremity MRI shows: the left thigh muscle showed diffuse swelling, short T1 and long T2 signal, which saw a irregular slightly long T1 and short T2 signal, about 61mm * 22mm * 15mm, the boundary is clear. The shape of the left femur is normal, and the signal of the bone is homogeneous. The abnormal signal in the left soft tissue is considered as a hemat