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抗凝治疗出血并发症的CT检查

CT of hemorrhagic complications of anticoagulant therapy.

作者信息

Pretorius E S, Fishman E K, Zinreich S J

机构信息

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.

出版信息

J Comput Assist Tomogr. 1997 Jan-Feb;21(1):44-51. doi: 10.1097/00004728-199701000-00010.

Abstract

Anticoagulant therapy is commonly used in patients at risk for, or known to have, thromboembolic disease. Although complications of therapy are uncommon in most patients, in others it may result in complications with substantial morbidity and occasionally may be life threatening. This essay reviews the role of anticoagulant therapy and defines the potential complications that may occur in the chest, abdomen, musculoskeletal system, and CNS. Specific pitfalls in diagnosis as well as complications of the bleeding process are discussed and illustrated. The role of CT scanning in the diagnosis and triage of these patients is clearly defined through select cases and clinical dilemmas.

摘要

抗凝治疗常用于有血栓栓塞性疾病风险或已知患有血栓栓塞性疾病的患者。虽然大多数患者治疗并发症并不常见,但在其他患者中可能会导致严重发病的并发症,偶尔甚至可能危及生命。本文回顾了抗凝治疗的作用,并明确了可能发生在胸部、腹部、肌肉骨骼系统和中枢神经系统的潜在并发症。讨论并举例说明了诊断中的特定陷阱以及出血过程的并发症。通过精选病例和临床难题明确了CT扫描在这些患者诊断和分诊中的作用。

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