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KMID : 0604020090240010037
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Korean Journal of Critical Care Medicine
2009 Volume.24 No. 1 p.37 ~ p.38
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Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?
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Chon Soon-Ho
Shinn Sung-Ho
Lee Chul-Burm
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Abstract
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Hemothorax in a patient on anticoagulant therapy for atrial fibrillation after blunt trauma is not an uncommon event. However, massive hemothorax in such a patient with an extremely uncontrolled and high international normalized ratio (INR) may pose a serious dilemma. We report a case of a patient under anticoagulant therapy for atrial fibrillation who underwent an emergent thoracotomy for massive hemothorax with an INR of 9.57.
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KEYWORD
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anticoagulation, emergency thoracotomy, hemothorax
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