Abstract

The article presents a case of acute oral poisoning with a severe indirect anticoagulant, complicated by thedevelopment of toxic coagulopathy and bleeding in a 69-year-old patient. Acute poisoning was manifestedby severe coagulopathy, gastrointestinal bleeding, respiratory failure, and metabolic alkalosis.Intensivetherapy included: infusion, transfusion, detoxification, correction of acid-base disorders, antiplateletagents, statins, antihypertensive therapy, oxygen therapy and normalization of energy balance.To quicklyneutralize the indirect anticoagulant, fresh frozen plasma (FFP) was used as the first-line drug of therapy.As a result of intensive care, on the fourteenth day, the patient was discharged in a satisfactory condition.

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