Behranwala K A, Tisdall M, Habib N H, Canelo R
Department of Surgery, Hammersmith Hospital, London, United Kingdom.
Int Surg. 2004 Oct-Dec;89(4):212-6.
We report on a case of bilateral subcapsular hematoma of the liver, occurring during treatment with warfarin. A 64-year-old woman was put on long-term warfarin therapy. After a bout of severe right hypochondriac pain, computed tomography (CT) scan showed subcapsular hematoma of the liver. Subsequent CT scan, conservative policy only, showed regression of the hematoma. The patient was discharged from the hospital on the 23rd day. We conclude that a nonruptured spontaneous liver hematoma should not be surgically removed. A conservative management with close observation is the mainstay therapy. A switch from warfarin therapy to another anticoagulation therapy is strongly suggested.
我们报告一例在华法林治疗期间发生的双侧肝包膜下血肿病例。一名64岁女性接受长期华法林治疗。在一阵严重的右季肋部疼痛后，计算机断层扫描（CT）显示肝包膜下血肿。随后的CT扫描显示，仅采取保守治疗，血肿消退。患者于第23天出院。我们得出结论，对于未破裂的自发性肝血肿不应进行手术切除。密切观察下的保守治疗是主要治疗方法。强烈建议从华法林治疗转换为另一种抗凝治疗。
