Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio

被引：0
|
作者：
Levis, Joel T. [1 ,2 ]
Delgado, Mucio C. [2 ]
机构：
[1] Kaiser Santa Clara Med Ctr, Dept Emergency Med, 700 Lawrence Expressway, Santa Clara, CA 95051 USA
[2] Stanford Kaiser Emergency Med Residency Program, Stanford, CA USA
来源：
WESTERN JOURNAL OF EMERGENCY MEDICINE | 2009年 / 10卷 / 02期
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D O I：
暂无
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient's International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood.
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页码：115 / 119
页数：5
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