Ashraf Adrita, Bannon Mark, Smith Chelsea, Kaushik Prashant, Marak Creticus
Department of Medicine, Northeastern Health System, Tahlequah, OK, USA.
Department of Medicine, Rheumatology, Oklahoma State University College of Osteopathic Medicine, Tahlequah, OK, USA.
Respir Med Case Rep. 2022 Feb 19;36:101612. doi: 10.1016/j.rmcr.2022.101612. eCollection 2022.
Acute upper airway obstruction secondary to supraglottic hematoma is a rare but life-threatening complication of oral anticoagulants, particularly with warfarin. Symptoms include sore throat, dysphagia, odynophagia, dysphonia, neck swelling, and dyspnea. We are reporting a case of an elderly male on warfarin therapy who developed acute upper airway obstruction due to spontaneous supraglottic hemorrhage. Commonly reported sites of spontaneous bleeding are the sublingual and retropharyngeal spaces.
声门上血肿继发的急性上气道梗阻是口服抗凝剂罕见但危及生命的并发症,尤其是华法林。症状包括咽痛、吞咽困难、吞咽痛、声音嘶哑、颈部肿胀和呼吸困难。我们报告一例接受华法林治疗的老年男性,因自发性声门上出血而发生急性上气道梗阻。常见的自发性出血部位是舌下间隙和咽后间隙。