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皮肤接触类华法林抗凝剂导致脑出血:一例报告

Cutaneous exposure to warfarin-like anticoagulant causing an intracerebral hemorrhage: a case report.

作者信息

Abell T L, Merigian K S, Lee J M, Holbert J M, McCall J W

机构信息

University of Tennessee, Memphis.

出版信息

J Toxicol Clin Toxicol. 1994;32(1):69-73. doi: 10.3109/15563659409000432.

DOI:10.3109/15563659409000432
PMID:8308951
Abstract

A case of intercerebral hematoma due to warfarin-induced coagulopathy is presented. The 39-year-old woman had spread a warfarin-type rat poison around her house weekly using her bare hands, with no washing post application. Percutaneous absorption of warfarin causing coagulopathy, reported three times in the past, is a significant risk if protective measures, such as gloves, are not used. An adverse drug interaction with piroxicam, which she took occasionally, may have exacerbated the coagulopathy.

摘要

本文报告一例因华法林所致凝血病引起的脑内血肿病例。该39岁女性每周徒手在其房屋周围撒布华法林类灭鼠药,撒药后不洗手。经皮吸收华法林导致凝血病,过去已有三次报道,如果不采取如戴手套等保护措施,会有很大风险。她偶尔服用的吡罗昔康与之发生的药物不良相互作用可能加剧了凝血病。

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Evaluation of risk factors in patients with vitamin K-dependent coagulopathy presumed to be caused by exposure to brodifacoum.对疑似因接触溴敌隆而导致维生素K依赖性凝血病患者的风险因素评估。
Korean J Intern Med. 2014 Jul;29(4):498-508. doi: 10.3904/kjim.2014.29.4.498. Epub 2014 Jun 27.
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Intracerebellar hemorrhage caused by superwarfarin poisoning.
超级华法林中毒所致小脑出血
Neurol Sci. 2013 Nov;34(11):2071-2. doi: 10.1007/s10072-013-1445-2. Epub 2013 Apr 18.
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Ingestion of superwarfarin leading to coagulopathy: a case report and review of the literature.摄入超级华法林导致凝血病:一例病例报告及文献综述
MedGenMed. 2006 Nov 28;8(4):41.
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Emerg Med J. 2007 Apr;24(4):307-8. doi: 10.1136/emj.2006.044925.