作者
Rachel P Rosovsky, Mark A Crowther
发表日期
2008/1/1
来源
ASH Education Program Book
卷号
2008
期号
1
页码范围
36-38
出版商
American Society of Hematology
简介
A 47-year-old man presents with hypovolemic shock. He takes warfarin as a result of a mechanical mitral valve insertion 5 years prior, his INR at presentation is 8.4 and emergent CT reveals a very large retroperitoneal hematoma. Despite aggressive fluid and transfusion support he continues hypotensive, requiring ionotrope support. You are asked if he should receive recombinant factor VIIa.
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