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与华法林钠治疗相关的广泛组织坏死。

Extensive tissue necrosis associated with warfarin sodium therapy.

作者信息

Scandling J, Walker B K

出版信息

South Med J. 1980 Nov;73(11):1470-2. doi: 10.1097/00007611-198011000-00015.

DOI:10.1097/00007611-198011000-00015
PMID:7444510
Abstract

Skin and soft tissue necrosis is an uncommon but increasingly recognized complication of coumarin anticoagulant therapy. A patient is described with extensive involvement of all four extremities and the nose, requiring amputation of three extremities. The characteristic clinical features of the disorder are reviewed, with a discussion of the pathology, pathogenesis, and possible treatment modalities.

摘要

皮肤和软组织坏死是香豆素抗凝治疗一种罕见但日益被认识到的并发症。本文描述了一名患者,其四肢及鼻部均广泛受累,需对三个肢体进行截肢。文中回顾了该疾病的特征性临床特点,并讨论了其病理、发病机制及可能的治疗方式。

相似文献

1
Extensive tissue necrosis associated with warfarin sodium therapy.与华法林钠治疗相关的广泛组织坏死。
South Med J. 1980 Nov;73(11):1470-2. doi: 10.1097/00007611-198011000-00015.
2
Soft tissue necrosis and gangrene complicating treatment with the coumarin derivatives.香豆素衍生物治疗引发的软组织坏死和坏疽
Surg Gynecol Obstet. 1977 Oct;145(4):497-500.
3
The lesser known side-effect of warfarin: warfarin-induced venous limb gangrene.华法林鲜为人知的副作用:华法林所致的肢体静脉坏疽。
Mayo Clin Proc. 2014 May;89(5):e47. doi: 10.1016/j.mayocp.2013.05.037.
4
Soft tissue necrosis and gangrene complicating treatment with coumarin derivatives.香豆素衍生物治疗引发的软组织坏死和坏疽并发症。
Surg Gynecol Obstet. 1978 Jul;147(1):81-3.
5
Warfarin-induced skin necrosis: an entity occasionally requiring burn wound expertise.华法林所致皮肤坏死:一种偶尔需要烧伤创面专业知识的病症。
Burns Incl Therm Inj. 1988 Apr;14(2):139-41. doi: 10.1016/0305-4179(88)90220-3.
6
Warfarin-induced skin necrosis and venous limb gangrene in the setting of heparin-induced thrombocytopenia.华法林诱导的皮肤坏死及在肝素诱导的血小板减少症背景下的静脉肢体坏疽。
Arch Intern Med. 2004 Jan 12;164(1):66-70. doi: 10.1001/archinte.164.1.66.
7
Coumarin necrosis--a review of the literature.
Surgery. 1988 Mar;103(3):271-7.
8
Cutaneous gangrene: a rare complication of coumarin therapy.皮肤坏疽:香豆素治疗的一种罕见并发症。
Can J Surg. 1976 Jan;19(1):64-5,68.
9
The pathogenesis of venous limb gangrene associated with heparin-induced thrombocytopenia.与肝素诱导的血小板减少症相关的静脉肢体坏疽的发病机制。
Ann Intern Med. 1997 Nov 1;127(9):804-12. doi: 10.7326/0003-4819-127-9-199711010-00005.
10
Dermal gangrene. An unpredictable complication of coumarin therapy.皮肤坏疽。香豆素治疗的一种不可预测的并发症。
J Thorac Cardiovasc Surg. 1973 Feb;65(2):238-40.

引用本文的文献

1
Warfarin-induced skin necrosis: a narrative review of clinical features, risk factors, and treatment strategies.华法林所致皮肤坏死:临床特征、危险因素及治疗策略的叙述性综述
Ann Med Surg (Lond). 2025 Sep 12;87(11):7249-7260. doi: 10.1097/MS9.0000000000003848. eCollection 2025 Nov.
2
Skin Necrosis Induced by Coumarin Congeners.香豆素类同系物诱导的皮肤坏死
Tex Heart Inst J. 2017 Aug 1;44(4):233-236. doi: 10.14503/THIJ-17-6430. eCollection 2017 Aug.
3
Extensive warfarin-induced skin necrosis successfully treated with negative pressure wound therapy.
广泛华法林诱导的皮肤坏死经负压伤口治疗成功治愈。
BMJ Case Rep. 2014 Apr 17;2014:bcr2013203510. doi: 10.1136/bcr-2013-203510.