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口服华法林导致的咽后血肿

Retropharyngeal Hematoma due to Oral Warfarin Usage.

作者信息

Toker Ibrahim, Duman Atilla Ozge, Yesilaras Murat, Ursavas Burcu

机构信息

Department of Emergency Medicine, Tepecik Training and Research Hospital, Izmir.

出版信息

Turk J Emerg Med. 2016 Mar 2;14(4):182-4. doi: 10.5505/1304.7361.2014.25594. eCollection 2014 Dec.

DOI:10.5505/1304.7361.2014.25594
PMID:27437516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4909968/
Abstract

Retropharyngeal hematoma due to anticoagulant usage is a rare, life-threatening situation which must be immediately diagnosed and treated. Immediate control of the airway and coagulopathy are the bases of treatment management. Patients often respond to conservative treatment but occasionally urgent tracheostomy and endotracheal intubation may be necessary. We presented a case of retropharyngeal hematoma secondary to warfarin usage in a 49-year-old male.

摘要

抗凝药物使用导致的咽后血肿是一种罕见的、危及生命的情况，必须立即进行诊断和治疗。立即控制气道和凝血障碍是治疗管理的基础。患者通常对保守治疗有反应，但偶尔可能需要紧急气管切开术和气管插管。我们报告了一例49岁男性因使用华法林继发咽后血肿的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0484/4909968/560dd3b0e2fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0484/4909968/9184b923761c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0484/4909968/560dd3b0e2fa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0484/4909968/9184b923761c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0484/4909968/560dd3b0e2fa/gr2.jpg

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本文引用的文献

1
Spontaneous epiglottic hematoma secondary to supratherapeutic anticoagulation.超治疗剂量抗凝继发自发性会厌血肿。
Int J Otolaryngol. 2010;2010:201806. doi: 10.1155/2010/201806. Epub 2010 Nov 7.
2
Warfarin therapy: evolving strategies in anticoagulation.华法林治疗：抗凝治疗策略的演变
Am Fam Physician. 1999 Feb 1;59(3):635-46.