Kaya Basak Bilir, Icagasioglu Afitap
Departmant of Physical Medicine and Rehabilitation, Goverment of Health Siyami Ersek Training and Research Hospital, Istanbul, Turkey.
Departmant of Physical Medicine and Rehabilitation, Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.
North Clin Istanb. 2017 Aug 26;4(2):180-184. doi: 10.14744/nci.2016.73644. eCollection 2017.
Warfarin is a commonly used anticoagulant agent that can have life-threatening complications, such as severe bleeding, which then require cessation of the treatment. Due to the widespread use of this therapy in recent years, incidences of its hemorrhagic complications have also increased significantly. In hemodynamically stable patients, it is possible to adopt conservative treatment strategies, such as ultrasound (US) therapy as an alternative. US is a physical therapy modality widely used in musculoskeletal disorders, but there is little evidence about its effectiveness for hemorrhagic complications because of the limited number of studies on this subject at present. A 77-year-old male who had been under oral anticoagulant therapy for 6½ years presented at the clinic with complaints of severe pain and numbness in the anterolateral thigh. US evaluation revealed iliopsoas hematoma. US treatment, administered as a physical therapy modality, resulted in faster resorption of the hematoma than expected. The patient fully recovered from clinically observed pain, meralgia paresthetica, and reduced patellar reflex.
华法林是一种常用的抗凝剂，可能会引发危及生命的并发症，如严重出血，此时就需要停止治疗。由于近年来这种疗法的广泛应用，其出血并发症的发生率也显著增加。对于血流动力学稳定的患者，可以采用保守治疗策略，比如用超声（US）疗法作为替代方案。超声是一种广泛用于肌肉骨骼疾病的物理治疗方式，但由于目前关于该主题的研究数量有限，几乎没有证据表明其对出血并发症有效。一名接受口服抗凝治疗6年半的77岁男性因前外侧大腿严重疼痛和麻木到诊所就诊。超声评估显示髂腰肌血肿。作为一种物理治疗方式进行的超声治疗使血肿吸收速度比预期更快。患者从临床观察到的疼痛、感觉异常性股痛和髌反射减弱中完全康复。
