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KMID : 1148020140390030142
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조선대학교의대논문집
2014 Volume.39 No. 3 p.142 ~ p.146
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Pulmonary Thromboembolism with Deep Vein Thrombosis on Taking Third Generation Combined Oral Contraceptives
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Lee Ui-Sin
Kim Moo-Woong
Rew Soo-Jung
Eun Seo-Joon
Park Chan-Woo
Jeong Jong-Pil
Ko Young-Choon
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Abstract
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Combined oral contraceptives (OCs) are a common method of contraception; however, they are associated with a twofold to sixfold increased risk of venous thrombosis (VT). The association between estrogen-containing OCs and VT is well established. After the first generation progestogens, new progestogens were developed. However, the risk of VT is higher for users of OCs with third generation progestogens than for those using second generation progestogens. We experienced a patient, a 25-year-old young woman with chest pain after taking third generation OCs. We performed chest computed tomography (CT) and lower extremity venogram CT. She was diagnosed with a pulmonary thromboembolism and deep vein thrombosis. She was treated with low molecular weight heparin and warfarin for six months. We report on this case with a review of the relevant literature.
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KEYWORD
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Third generation combined oral contraceptives, Pulmonary thromboembolism, Thrombosis
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