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与抗凝治疗相关的出血性病变:影像学综述。

Hemorrhagic lesions associated with anticoagulant therapy: a pictorial review.

机构信息

Department of Radiology, School of Medicine, Atatürk University, 25240, Erzurum, Turkey.

Department of Pulmonary Diseases, School of Medicine, Atatürk University, 25240, Erzurum, Turkey.

出版信息

J Thromb Thrombolysis. 2021 May;51(4):1067-1077. doi: 10.1007/s11239-020-02305-2. Epub 2020 Oct 9.

Abstract

Anticoagulant therapy is a treatment that can cause bleeding complications in many anatomical structures. Intracranial, intramuscular and intraabdominal bleeding are internal bleeding that can be secondary to anticoagulated therapy. The prognosis of these hemorrhages can be very good, depending on the anatomical region involved, or they can be fatal. Early recognition of especially intracranial and renal hemorrhages is important for prognosis. For diagnosis, CT and / or MRI should be evaluated according to the region. Internal bleeding should be kept in mind in cases such as sudden hemoglobin decrease or change in consciousness during anticoagulant therapy.

摘要

抗凝治疗是一种可导致许多解剖结构出血并发症的治疗方法。颅内、肌肉内和腹腔内出血是可能继发于抗凝治疗的内出血。这些出血的预后可能非常好,取决于涉及的解剖区域,也可能是致命的。早期识别特别是颅内和肾出血对预后很重要。对于诊断,应根据区域评估 CT 和/或 MRI。在抗凝治疗期间血红蛋白突然下降或意识改变等情况下应考虑内出血。

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