Obstetrics and gynecology · 2006
Massive subchorionic hematoma associated with enoxaparin.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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История · было → стало
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Lee Richard H, Goodwin T Murphy
Аннотация
BACKGROUND: The use of low-molecular-weight heparins is increasing for the prevention of thromboembolism in pregnancy. Subchorionic hematoma as a complication of anticoagulation therapy is rarely reported.
CASE: A persistent, massive subchorionic hematoma was diagnosed in a pregnant patient with atrial fibrillation and mitral stenosis. Enoxaparin was administered to maintain her trough anti-Xa level 0.5 units/mL or higher. The patient's peak anti-Xa levels never exceeded 1.05 units/mL. The patient underwent cesarean delivery at 34 6/7 weeks of gestation for preterm premature rupture of membranes.
CONCLUSION: Subchorionic hematoma is a potentially serious complication that can occur in pregnant patients receiving enoxaparin for the prevention of thromboembolism.
CASE: A persistent, massive subchorionic hematoma was diagnosed in a pregnant patient with atrial fibrillation and mitral stenosis. Enoxaparin was administered to maintain her trough anti-Xa level 0.5 units/mL or higher. The patient's peak anti-Xa levels never exceeded 1.05 units/mL. The patient underwent cesarean delivery at 34 6/7 weeks of gestation for preterm premature rupture of membranes.
CONCLUSION: Subchorionic hematoma is a potentially serious complication that can occur in pregnant patients receiving enoxaparin for the prevention of thromboembolism.
Предметные рубрики MeSH
AdultAnticoagulantsAtrial FibrillationCesarean SectionChorionEnoxaparinFactor Xa InhibitorsFemalePremature Rupture of Fetal MembranesGestational AgeHeart Valve ProsthesisHematomaHumansMEDLINEMitral ValveMitral Valve StenosisPregnancyPregnancy ComplicationsPregnancy OutcomeThromboembolismUltrasonography