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华法林致老年女性自发性双侧乳腺及胸外血肿

Warfarin-Induced Spontaneous Bilateral Breast and Extrathoracic Hematoma in an Elderly Woman.

作者信息

Shakerian Behnam, Razavi Negin

机构信息

Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

J Tehran Heart Cent. 2020 Apr;15(2):84-85. doi: 10.18502/jthc.v15i2.4190.

DOI:10.18502/jthc.v15i2.4190
PMID:33552201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7825465/
Abstract

Warfarin- induced spontaneous breast hematoma is a very rare disease, with only a few cases having been reported in the literature so far. We describe an 80-year-old woman who had warfarin therapy due to deep vein thrombosis in a lower extremity. The patient was admitted with a history of swelling and red area on her bilateral breasts, chest wall, right arm, and right flank. She was treated conservatively with success. She was discharged after about 3 weeks without complications and was well at 6 months' follow-up.

摘要

华法林诱发的自发性乳腺血肿是一种非常罕见的疾病,迄今为止文献中仅报道了少数病例。我们描述了一名80岁的女性,她因下肢深静脉血栓形成接受华法林治疗。该患者因双侧乳房、胸壁、右臂和右胁腹肿胀及出现红色区域而入院。她接受了保守治疗并取得成功。约3周后她无并发症出院,6个月随访时情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b01/7825465/b8f8bde676ff/JTHC-15-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b01/7825465/b8f8bde676ff/JTHC-15-84-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b01/7825465/b8f8bde676ff/JTHC-15-84-g001.jpg

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Spontaneous massive pectoral hematoma induced by vitamin K antagonist therapy: a case report.维生素 K 拮抗剂治疗致自发性巨大胸肌血肿:病例报告。
Pan Afr Med J. 2021 Apr 1;38:324. doi: 10.11604/pamj.2021.38.324.28454. eCollection 2021.

本文引用的文献

1
Warfarin-induced necrosis of the breast: case report.华法林所致乳腺坏死:病例报告
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2
Recurrent spontaneous breast hematoma: report of a case and review of the literature.复发性自发性乳腺血肿:1例报告并文献复习
Rev Hosp Clin Fac Med Sao Paulo. 2001 Nov-Dec;56(6):179-82. doi: 10.1590/s0041-87812001000600004.
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Anticoagulant-related bleeding: clinical epidemiology, prediction, and prevention.抗凝相关出血:临床流行病学、预测与预防
Am J Med. 1993 Sep;95(3):315-28. doi: 10.1016/0002-9343(93)90285-w.
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Anticoagulants in older patients. A safety perspective.老年患者的抗凝剂。安全性视角。
Drugs Aging. 1995 Jan;6(1):45-54. doi: 10.2165/00002512-199506010-00004.