Abstract

Antikoagulan tedavinin en onemli komplikasyonu kanamadir. Warfarin alan hastalarda yillik kanama riski; fatal epizod yaklasik %1, major epizod %6.5, minor kanama ise %21.8'dir. Literaturde antikoagulan tedaviye bagli az sayida spontan hemotoraks olgusu bildirilmistir. Kanama siddetli ise sok ve mortalite gelisebilir. Hemotoraks yeterli sekilde bosaltilmazsa hematom ve hapsolmus akciger olusumu riski tasimaktadir. Hemotoraks goruldugunde antikoagulan tedavi hemen sonlandirilmali ve plevral aralik bosaltilmalidir. Bu calismada warfarin tedavisine bagli uc olguda gelisen spontan hemotoraks olgusu literatur bilgileri isiginda sunuldu.

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