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Serious Bleeding Complication Due to the Use of Low-molecular-weight heparin to treat a Traumatic Patient with Acute Renal Failure  

Kyoung, Kyu-Hyouck (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Kim, Woon-Won (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Park, Sung-Jin (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Kim, Ki-Hoon (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Kim, Jin-Soo (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Park, Jong-Kwon (Department of Surgery, Inje university college of medicine, Haeundae Paik Hospital)
Publication Information
Journal of Trauma and Injury / v.24, no.2, 2011 , pp. 164-167 More about this Journal
Abstract
Trauma is an important risk factor for a pulmonary thromboembolism, and anticoagulation is essential to prevent deep vein thrombosis (DVT) in patients with trauma. Low-molecular-weight heparin (LMWH) is excreted in the kidney; therefore, using LMWH in patients with renal insufficiency may increase the risk of bleeding complication. The following case describes a 55-year-old traffic accident victim who had massive bleeding and underwent a laparotomy for bleeding control. The patient had acute renal failure, and enoxaparin was administered for the prophylaxis of DVT. Although the patient suffered from serious complications such as pericardial hematoma, the patient recovered without sequellae and was discharged at day 84.
Keywords
Enoxaparin; Acute renal failure; Trauma;
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