Trattamento medico degli ematomi retroperitoneali in corso di terapia anticoagulante postoperatoria e cronica: Nostra esperienza
Articolo
Data di Pubblicazione:
2000
Citazione:
Trattamento medico degli ematomi retroperitoneali in corso di terapia anticoagulante postoperatoria e cronica: Nostra esperienza / V. Tolva, S. Trimarchi, G. Keller, V. Rampoldi. - In: CHIRURGIA. - ISSN 0394-9508. - 13:3(2000), pp. 163-166.
Abstract:
Traumatic and non-traumatic retroperitoneal hematomas can be classified according to the different onset site. In 10% of cases spontaneous hematomas appeared during heparin or dicumarolic therapy. It is possible to classify hematomas investigating the bleeding point. In a period of ten years, from 1989 to 1999, we evaluated (cases of spontaneous retroperitoneal hematomas during antiocoagulant therapy. Risks factors have been evaluated and CT scan was the best instrumental examination. Dicumarolic therapy has been stopped immediately and in few cases low amount of heparin was continued (patient with mitral replacement). Medical therapy was the best way to treat this pathology and surgical treatment should be performed only when acute bleeding or severe organ failure is present.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Anticoagulants adverse effects; Hematoma; Heparin; Postoperative complications; Retroperitoneal space; Vascular surgical procedures; Venous thrombosis
Elenco autori:
V. Tolva, S. Trimarchi, G. Keller, V. Rampoldi
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