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KMID : 0385920120230050730
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 5 p.730 ~ p.733
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Anterior Mediastinal Hematoma after Cardiopulmonary Resuscitation
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Kang Dae-Gil
Kim Sung-Eun
Hong Ji-Yeon
Park Myung-Soo
Sim Jong-Seop
Oh Ki-Jong
Kim Eun-Jung
Yang Bo-Kyung
Cho Gyu-Chong
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Abstract
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Anterior mediastinal hematoma is often reported as a complication of cardiopulmonary resuscitation (CPR). CPR can be performed as a result of myocardial infarction, and early percutaneous coronary intervention (PCI) and anticoagulant, antiplatelet agent can improve outcome. As use of antiplatelet agents, like glycoprotein IIb/IIIa inhibitors, becomes more widespread, occurrence of complications such as bleeding may be increased. The mediastinal hematoma usually resolves itself without complications; however, a large amount of hematoma can cause cardiac tamponade. Therefore, rapid diagnosis is very important. We describe a case of anterior mediastinal hematoma detected by echocardiography after CPR and PCI.
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KEYWORD
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Mediastinum, Hemorrhage, Cardiopulmonary resuscitation, Angioplasty, Abciximab
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