Tosun Aliye, İnal Elem, Keleş Işk, Tulmaç Murat, Tosun Özgür, Aydın Gülümser, Orkun Sevim
aClinics of Physical Medicine and Rehabilitation, Ankara Atatürk Education and Research Hospital bDepartment of Physical Medicine and Rehabilitation cDepartment of Cardiology, Kırıkkale University Faculty of Medicine dClinics of Radiodiagnostics, Ankara Atatürk Education and Research Hospital, Ankara, Turkey.
Blood Coagul Fibrinolysis. 2014 Oct;25(7):769-72. doi: 10.1097/MBC.0000000000000110.
Anticoagulant drugs are used to reduce the incidence of thromboembolic events in patients at risk. However, minor and major bleeding complications may occur during anticoagulation therapy. Femoral neuropathy secondary to retroperitoneal hematoma is a well known complication of anticoagulant drugs. However, treatment of these patients is still controversial, both conservative and surgical treatments have been advocated. Herein, we report a male patient receiving warfarin for 7 years who developed femoral neuropathy due to retroperitoneal hematoma and was successfully treated with conservative methods. We suggest that conservative treatment and appropriate rehabilitation program should be given to the patients who do not demonstrate any signs of a continued bleeding and any progressive neurological deficits.
抗凝药物用于降低有风险患者发生血栓栓塞事件的发生率。然而，抗凝治疗期间可能会发生轻微和严重的出血并发症。腹膜后血肿继发的股神经病变是抗凝药物众所周知的并发症。然而，这些患者的治疗仍存在争议，保守治疗和手术治疗均有支持者。在此，我们报告一名接受华法林治疗7年的男性患者，因腹膜后血肿发生股神经病变，并通过保守方法成功治愈。我们建议，对于没有持续出血迹象和任何进行性神经功能缺损的患者，应给予保守治疗和适当的康复计划。
