Gabriel H M, Falcão L M, Soares A O
Serviço de Medicina I, Hospital de St. Maria, Faculdade de Medicina, Lisboa.
Acta Med Port. 1995 Oct;8(10):589-90.
This short clinical report presents a case of giant pelvic hematoma with infiltration of the abdominal wall, initially misdiagnosed as incisional hernia by means of the old McBurney laparotomy. The patient, a 56-year-old female, was under chronic coumarin anticoagulation to prevent systemic embolism recurrence (rheumatic polyvalvular disease, atrial fibrillation, and previous brain embolism). On admission, the I.N.R. was 6.6. The risks versus benefits dilemma of chronic oral anticoagulation is briefly commented.
本简短临床报告介绍了一例巨大盆腔血肿伴腹壁浸润的病例，最初通过老式麦氏剖腹术被误诊为切口疝。患者为一名56岁女性，长期接受香豆素抗凝治疗以预防全身性栓塞复发（风湿性多瓣膜病、心房颤动和既往脑栓塞）。入院时，国际标准化比值（INR）为6.6。文中简要讨论了慢性口服抗凝治疗的风险与获益困境。
