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华法林治疗期间的髂腰肌血肿

[Iliopsoas muscle hematoma during treatment with warfarin].

作者信息

Zago Gabriel, Appel-da-Silva Marcelo Campos, Danzmann Luiz Claudio

机构信息

Hospital Nossa Senhora da Conceição, Porto Alegre, RS, Brasil.

出版信息

Arq Bras Cardiol. 2010 Jan;94(1):e1-3. doi: 10.1590/s0066-782x2010000100023.

Abstract

Warfarin is a widely used drug for the prevention of thromboembolic events. Knowledge of its adverse effects is necessary for patient follow-up. Although the development of blood dyscrasias is a potential complication in these patients, retroperitoneal bleeding is rare. This article reports the case of a patient who developed iliopsoas muscle hematoma during treatment with warfarin after implantation of a metallic prosthetic aortic valve. The clinical manifestations involved important differential diagnoses.

摘要

华法林是一种广泛用于预防血栓栓塞事件的药物。了解其不良反应对于患者随访至关重要。尽管血液系统异常是这些患者的潜在并发症,但腹膜后出血很少见。本文报告了一例在植入金属人工主动脉瓣后使用华法林治疗期间发生髂腰肌血肿的患者病例。临床表现涉及重要的鉴别诊断。

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