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A Case Report : Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?

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초록

Hemothorax in a patient on anticoagulant therapy for atrial fibrillation after blunt trauma is not an uncommon event. However, massive hemothorax in such a patient with an extremely uncontrolled and high international normalized ratio (INR) may pose a serious dilemma. We report a case of a patient under anticoagulant therapy for atrial fibrillation who underwent an emergent thoracotomy for massive hemothorax with an INR of 9.57

Abstract

Hemothorax in a patient on anticoagulant therapy for atrial fibrillation after blunt trauma is not an uncommon event. However, massive hemothorax in such a patient with an extremely uncontrolled and high international normalized ratio (INR) may pose a serious dilemma. We report a case of a patient under anticoagulant therapy for atrial fibrillation who underwent an emergent thoracotomy for massive hemothorax with an INR of 9.57

참고문헌 (4)

  1. Greenspan L, "Abbreviated injury scale and injury severity score: a scoring chart", J Trauma, 25, pp.60~64 (1985)
  2. Makris M, "Management of excessive anticoagulation or bleeding", Semin Vasc Med, 3, pp.279~284 (2003)
  3. Battistella FD, "Blunt and penetrating injuries of the chest wall, pleura, and lungs. in: General Thoracic Surgery. 5th ed", pp.815~831 (2000), Lippincott Williams & Wilkins
  4. Martinez FJ, "Spontaneous hemothorax", Medicine (Baltimore), 71, pp.354~368 (1992)

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