Murad Aizuri A, Daly Toddy, Mulligan Niall, Lenane Patsy
Dermatology Department, Mater Misericordiae University Hospital, Dublin, Ireland.
BMJ Case Rep. 2014 Apr 17;2014:bcr2013203510. doi: 10.1136/bcr-2013-203510.
A 55-year-old woman presented with an extensive warfarin-induced skin necrosis while an inpatient for treatment of a pulmonary embolism and thromboembolic stroke. She had a background of diabetes mellitus, hypertension and dyslipidaemia. Her warfarin was stopped and she was anticoagulated with low-molecular weight heparin. The wound was successfully treated with a combination of antibiotic, debridement and negative pressure wound therapy.
一名55岁女性在住院治疗肺栓塞和血栓栓塞性中风时出现大面积华法林诱导的皮肤坏死。她有糖尿病、高血压和血脂异常病史。停用了她的华法林,并用低分子肝素进行抗凝治疗。通过联合使用抗生素、清创术和负压伤口治疗,伤口得到了成功治疗。