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抗凝剂诱发的十二指肠壁内血肿伴上消化道出血。

Anticoagulant-induced intramural duodenal haematoma presenting with upper-gastrointestinal haemorrhage.

作者信息

Köseoğlu Hüseyin, Solakoğlu Tevfik, Atalay Roni, Bolat Aylin Demirezer, Akin Ebru, Yürekli Oykü Tayfur, Büyükaşik Naciye Şemnur, Ersoy Osman

机构信息

Department of Gastroenterology, Yildirim Beyazit University, Ankara, Turkey.

Department of Gastroenterology, Atatürk Research and Education Hospital, Ankara, Turkey.

出版信息

Arab J Gastroenterol. 2013 Dec;14(4):180-2. doi: 10.1016/j.ajg.2013.09.003. Epub 2013 Oct 7.

DOI:10.1016/j.ajg.2013.09.003
PMID:24433650
Abstract

Warfarin is an anticoagulant agent known to have a common complication, bleeding. Intramural intestinal haematoma is an uncommon incidence of warfarin-induced haemorrhage. Abdominal pain is its most frequent symptom and presentation with upper-gastrointestinal haemorrhage is rarely seen. Here, we present a 67-year-old male who was admitted to the hospital with active upper-gastrointestinal haemorrhage. In this case, the cause of bleeding has been attributed to duodenal intramural haematoma due to warfarin overuse.

摘要

华法林是一种已知有常见并发症——出血的抗凝剂。肠壁内血肿是华法林所致出血的一种罕见情况。腹痛是其最常见症状，而上消化道出血的表现则很少见。在此，我们报告一名67岁男性因活动性上消化道出血入院。在该病例中，出血原因被归因于华法林过量使用导致的十二指肠壁内血肿。

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Extensive small bowel intramural haematoma secondary to warfarin.华法林所致广泛小肠壁内血肿
J Surg Case Rep. 2017 Mar 3;2017(3):rjx044. doi: 10.1093/jscr/rjx044. eCollection 2017 Mar.