Macdonald D J M, Tollan C J, Robertson I, Rana B
Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK.
Postgrad Med J. 2006 Oct;82(972):e25. doi: 10.1136/pgmj.2006.047381.
We describe a case of a patient receiving warfarin who presented with a superior pubic ramus fracture after a trivial fall at home. She developed a massive retroperitoneal haematoma as a result of vascular injury and subsequently died. This case emphasises the importance of admitting and observing patients with pubic rami fractures who are receiving antithrombotic treatment, and haemorrhage should be considered if they become haemodynamically compromised.
我们描述了一例接受华法林治疗的患者，该患者在家中轻微跌倒后出现耻骨上支骨折。由于血管损伤，她形成了巨大的腹膜后血肿，随后死亡。该病例强调了收治和观察接受抗血栓治疗的耻骨支骨折患者的重要性，如果他们出现血流动力学不稳定，应考虑出血情况。
