항응고제에 의해 조절이 안된 환자에서 발생된 혈흉: Fight or Flight? |
전순호ㆍ신성호ㆍ이철범 |
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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 |
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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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