A Case Report : Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?
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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)
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- 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
- Martinez FJ, "Spontaneous hemothorax", Medicine (Baltimore), 71, pp.354~368 (1992)
