乳腺血肿:使用抗凝和抗血小板的罕见并发症及文献综述。

Emrah Dağtekin, Sebahattin Çelik
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引用次数: 1

摘要

口服抗凝剂和抗血小板治疗用于治疗,特别是在有血栓栓塞风险的临床情况下或当血栓栓塞事件发生时进行预防。本病例是一名因腿部蜂窝织炎住院的患者,并被诊断为心力衰竭、肥胖和慢性阻塞性肺病。她开始服用预防性口服抗凝剂治疗深静脉血栓和肺栓塞,随后出现自发性乳房血肿。这种出血的常见部位是皮肤、胃肠道、泌尿生殖系统、中枢神经系统、腹膜后、肌肉以及最近的外科手术或创伤部位,而乳房血肿通常是创伤性的。使用抗凝剂后自发性出血进入乳房是罕见的。在使用抗凝剂时,应该记住,乳房很少会出现出血。我们建议,在这种情况下,无论乳房血肿有多大,都没有必要进行干预,而且新的抗凝药物可能更安全。
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Breast Hematoma: A Rare Complication of Anticoagulant and Antiplatelet Use and Review of the Literature.

Oral anticoagulants and anti-platelet therapies are used for treatment and especially prophylaxis in clinical situations where there is a risk of thromboembolism or when thromboembolic events occur. The presented case was a patient who was hospitalized due to cellulitis in the leg, and was diagnosed with heart failure, obesity and chronic obstructive pulmonary disease. She was started on prophylactic oral anticoagulants for deep vein thrombosis and pulmonary emboli and subsequently developed spontaneous breast hematoma. The usual sites of such bleeding are the skin, gastrointestinal tract, genitourinary tract, central nervous system, retroperitoneum, muscle, and the site of recent surgical procedures or trauma while breast hematomas are usually of traumatic origin. Spontaneous bleeding into the breast after anticoagulant use is rare. While using anticoagulants, it should be kept in mind that, rarely, bleeding may occur in the breast. We advise that intervention in such cases is unnecessary, no matter how large the breast hematoma is, and that new anti-coagulant drugs may be safer.

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