Kontrolsüz Warfarin Kullanımına Bağlı Ciltte Kanama: Olgu sunumu
Küçük Resim Yok
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Antikoagülan tedavi, klinik tablo açıdan geniş bir spektrum oluşturan tromboembolik hastalıkların profilaksi ve tedavisinde yaşamsal önem taşıyan bir tedavi yöntemidir. Antikoagülan tedavinin bazen hasta hayatını tehdit edebilen en önemli komplikasyonu kanamadır. Bu nedenle antikoagülan tedavinin tromboz veya kanamaya yol açmayacak şekilde planlanması, klinik ve laboratuvar takibinin titizlikle yapılması yaşamsal önem taşımaktadır. Oral antikoagülanlara bağlı cilt kanamaları çok nadir görülmektedir. Tedavide K vitamini, protrombin kompleks konsantresi (PCC) ve taze donmuş plazma (TDP) ile antikoagülasyonun bir an önce tersine çevrilmesi önerilmektedir. Bu makalede, atrial fibrilasyon ve aort valv replasmanı (AVR) nedeniyle profilaktik olarak warfarin alımına bağlı ciltte kanama gelişen bir olgu sunulmuştur.
Anticoagulant therapy is a vital method of treatment and prophylaxis of thromboembolic diseases which clinically have a wide spectrum. Sometimes the most important complication of anticoagulant therapy is bleeding that may threaten life. Therefore, it is vital that anticoagulant therapy be planned so that it does not lead to thrombosis or bleeding and clinical and laboratory follow-up should be performed carefully. Skin bleeding caused by oral anticoagulants rarely occurs. It is advised that the reversal of anticoagulation should be done with the treatment of vitamin K, prothrombin complex concentrate (PCC) and fresh frozen plasma (FFP) as soon as possible. In this article, a case, who developed skin bleeding caused by receiving warfarin as prophylaxis because of atrial fibrillation and aortic valve replacement (AVR), was presented.
Anticoagulant therapy is a vital method of treatment and prophylaxis of thromboembolic diseases which clinically have a wide spectrum. Sometimes the most important complication of anticoagulant therapy is bleeding that may threaten life. Therefore, it is vital that anticoagulant therapy be planned so that it does not lead to thrombosis or bleeding and clinical and laboratory follow-up should be performed carefully. Skin bleeding caused by oral anticoagulants rarely occurs. It is advised that the reversal of anticoagulation should be done with the treatment of vitamin K, prothrombin complex concentrate (PCC) and fresh frozen plasma (FFP) as soon as possible. In this article, a case, who developed skin bleeding caused by receiving warfarin as prophylaxis because of atrial fibrillation and aortic valve replacement (AVR), was presented.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Bakırköy Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
11
Sayı
4
