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KMID : 0386420060190010089
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Journal of the Korean Fracture Society
2006 Volume.19 No. 1 p.89 ~ p.92
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Spontaneous Intramuscular Hematoma associated with Acute Compartment Syndrome after Treatment of Low Molecular Weight Heparin - A Report of Two Cases -
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김근우/Kim KW
남우동/유기형/조병렬/김용훈/어수익/Nam WD/Rhyu KH/Cho BR/Kim YH/Awe SI
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Abstract
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Low-molecular-weight heparin (LMWH) has been considered superior to unfractionated heparin in several facets such as more effective anticoagulant, more predictable bioavailability, and less bleeding complications. We report two cases of LMWH, enoxaparin-induced spontaneous intramuscular hematoma with compartment syndrome of the lower extremity in patients with cardiac problems. The patients were treated with enoxaparin (LMWH) as bridging anticoagulation before use of warfarin due to cardiac problems. At the average 3 days of enoxaparin treatment, large and painful swelling was noticed in the lower extremities without intramuscular injection or trauma. The patients were diagnosed as having compartment syndrome with large intramuscular hematoma by CT. The patients underwent immediate fasciotomy and hematoma evacuation, and recovered without any complications.
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KEYWORD
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