Fırat Tıp Dergisi |
2012, Cilt 17, Sayı 0, Sayfa(lar) 030-033 |
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Sublingual Hematoma Linked to Uncontrolled Warfarin Use: A Case Report |
Hasan KARA, Aysegul BAYIR, Ahmet AK, Selim DEGIRMENCI, Demet ACAR, Rabia ISTANBULLUOGLU |
Selcuk University, Faculty of Medicine, Emergency Medicine, Konya, Turkey |
Keywords: Warfarin, Overdose, Sublingual haemorrhage, Warfarin, Doz Aşımı, Sublingual Kanama |
Summary |
Anticoagulant treatment is a vital treatment method used in prophylaxis and treatment of tromboembolic diseases. In anticoagulant treatment, the most significant complication that can sometimes threaten patient's life is hemorrhage. Therefore, planning anticoagulant treatment in a way not to cause thrombosis or bleeding and meticulous clinical and laboratory follow-up is vital. Hemorrhage in sublingual area is very rare. However, warfarin related bleeding in this area is life threatening and it might require securing patient's airway. In its treatment, it is recommended that anticoagulation with vitamin K, pro-thrombin complex concentrate (PCC) and fresh frozen plasma (FFP) be reversed immediately. In this article, a case who developed sublingual hemorrhage caused by prophylactic warfarin intake due to Coronary Artery Bypass Graft (CABG) has been presented. |
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