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Korean J Crit Care Med > Volume 24(1); 2009 > Article
Korean Journal of Critical Care Medicine 2009;24(1): 37-38. doi: https://doi.org/10.4266/kjccm.2009.24.1.37
항응고제에 의해 조절이 안된 환자에서 발생된 혈흉: Fight or Flight?
전순호ㆍ신성호ㆍ이철범
Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?: A Case Report
Soon Ho Chon, Sung Ho Shinn, Chul Burm Lee
Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Korea. cblee@hanyang.ac.kr
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.
Key Words: anticoagulation; emergency thoracotomy; hemothorax
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