Bicer Murat, Yanar Murat, Tuydes Oktay
Department of Cardiac Surgery, Kalp Damar Cerrahisi Anabilim Dali Görükle Yerleşkesi, Nilüfer Bursa 16059, Turkey.
Cases J. 2009 Sep 11;2:6390. doi: 10.1186/1757-1626-0002-0000006390.
Venous thromboembolus is an important cause of hospital acquired morbidity and mortality. Venous thrombosis is a very rare occurrence in patients with haemophilia A. The thrombosis originated from the right main and external iliac veins, and effects the cranial segments of the main, deep and superficial femoral veins as an acute phase thrombus. Neither any local anatomic compression nor any predisposing thrombophilic risk factors were identified. We treated the patient with enoxaparine 1 mg/kg twice a day subcutaneously and then started oral anticoagulation with warfarin.
静脉血栓栓塞是医院获得性发病和死亡的重要原因。甲型血友病患者发生静脉血栓形成的情况非常罕见。血栓形成起源于右主髂外静脉，并作为急性期血栓影响股总静脉、股深静脉和股浅静脉的头段。未发现任何局部解剖压迫或任何易患血栓形成的危险因素。我们对该患者采用皮下注射依诺肝素1mg/kg，每日两次进行治疗，然后开始使用华法林进行口服抗凝治疗。
