一名接受华法林治疗的患者发生大量自发性结膜下出血：病例报告。

Massive spontaneous subconjunctival hemorrhage in a patient on therapeutic warfarin: A case report.

作者信息

Philip Andrew M, Fry Matthew V, Hermanson Meghan E, Kelly Lisa D

机构信息

College of Medicine, University of Cincinnati, 3230 Eden Ave, Cincinnati, OH, 45267, USA.

Department of Ophthalmology, University of Cincinnati, 3230 Eden Ave, Cincinnati, OH, 45267, USA.

出版信息

Am J Ophthalmol Case Rep. 2021 Feb 26;22:101049. doi: 10.1016/j.ajoc.2021.101049. eCollection 2021 Jun.

DOI:10.1016/j.ajoc.2021.101049

PMID:33732947

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7937659/

Abstract

PURPOSE

To describe a case of massive spontaneous subconjunctival hemorrhage in a patient taking warfarin with a therapeutic international normalized ratio (INR).

OBSERVATIONS

Massive circumferential hemorrhagic chemosis, extensive periorbital and facial ecchymosis, and active arterial extravasation in the subconjunctiva which required cessation and reversal of anticoagulation. Findings gradually resolved over several months after discharge.

CONCLUSIONS AND IMPORTANCE

While subconjunctival hemorrhage, even in anticoagulated patients, is usually benign, rare examples of severe presentations exist. We present, to our knowledge, the first documented case of a subconjunctival hemorrhage necessitating cessation and reversal of anticoagulation in the setting of a therapeutic INR.

摘要