Thorgersen Ebbe Billmann, Øfsti Anne Merete, Nyheim Thomas, Abedini Sadollah
Medisinsk avdeling, Sykehuset i Vestfold Tønsberg, 3103 Tønsberg.
Tidsskr Nor Laegeforen. 2002 Oct 10;122(24):2360-1.
Warfarin is frequently used as an anticoagulant. The most common and serious complication is bleeding. We present a 43-year-old warfarinized patient who was admitted with unilateral groin pain and a neurological deficit of the lumbar nerve root L1-4. A CT scan showed a haematoma in and behind the ilio-psoas muscle extending to below the inguinal ligament, due to a warfarin induced coagulation deficit (INR 7.0) which was reversed on admission with vitamin K. There is no conclusive evidence in the literature supporting either conservative or surgical treatment modalities. Our patient was successfully treated conservatively.
华法林常被用作抗凝剂。最常见且严重的并发症是出血。我们报告一名43岁接受华法林治疗的患者，该患者因单侧腹股沟疼痛和腰神经根L1 - 4神经功能缺损入院。CT扫描显示髂腰肌内及后方有血肿，血肿延伸至腹股沟韧带下方，这是由华法林引起的凝血功能障碍（国际标准化比值[INR]为7.0）所致，入院时通过维生素K逆转了该凝血功能障碍。文献中没有确凿证据支持保守或手术治疗方式。我们的患者通过保守治疗成功康复。
