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华法林治疗并发症所致自发性壁内血肿继发胃出口梗阻

Gastric outlet obstruction secondary to spontaneous intramural haematoma as a complication of warfarin treatment.

作者信息

Arain J, Al-Dabbagh A

机构信息

Trafford General Hospital, Manchester, UK.

出版信息

J Surg Case Rep. 2012 Mar 1;2012(3):13. doi: 10.1093/jscr/2012.3.13.

DOI:10.1093/jscr/2012.3.13
PMID:24960817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649503/
Abstract

A 73-year-old lady presented with clinical features of gastric outlet obstruction. It was found to be secondary to a spontaneous haematoma in duodenal wall as a complication of warfarin therapy given for atrial fibrillation. The diagnosis was confirmed by abdominal CT scan and upper G I endoscopy. Warfarin was stopped and blood transfusions given. She recovered completely after three weeks of conservative treatment. Repeat CT scan and upper G I endoscopy done after two months showed complete resolution.

摘要

一位73岁的女性出现胃出口梗阻的临床症状。发现这是由十二指肠壁自发性血肿继发引起的，是心房颤动华法林治疗的并发症。腹部CT扫描和上消化道内镜检查确诊了该诊断。停用华法林并进行输血治疗。经过三周的保守治疗，她完全康复。两个月后复查CT扫描和上消化道内镜检查显示完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/3649503/9ab0605c006e/jscr-2012-3-13fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/3649503/ce42d85b0421/jscr-2012-3-13fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/3649503/9ab0605c006e/jscr-2012-3-13fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/3649503/ce42d85b0421/jscr-2012-3-13fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/3649503/9ab0605c006e/jscr-2012-3-13fig2.jpg

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本文引用的文献

1
Small bowel obstruction caused by intramural hemorrhage secondary to anticoagulant therapy.抗凝治疗继发肠壁内出血导致的小肠梗阻。
Acta Gastroenterol Belg. 2008 Jul-Sep;71(3):342-4.
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INTRAMURAL HEMATOMA OF THE SMALL INTESTINE AS A COMPLICATION OF ANTICOAGULANT THERAPY.
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抗凝剂诱导的肠壁内血肿。
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