Ginkgo biloba - Persistent bleeding after total hip arthroplasty caused by herbal self-medication - Case report

被引:25
作者
Bebbington, A [1 ]
Kulkarni, R [1 ]
Roberts, P [1 ]
机构
[1] Royal Gwent Hosp, Newport NPT 2VB, Gwent, Wales
关键词
hip; arthroplasty; bleeding; herbal medication;
D O I
10.1016/j.arth.2004.02.031
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We describe a case of persistent postoperative bleeding following total hip arthroplasty in which, initially, no obvious cause was identified. The patient was taking ginkgo biloba extract, an unlicensed herbal medicine taken to improve mental alertness. Ginkgo biloba is an anticoagulant that inhibits platelet-activating factor and is contraindicated with aspirin. Four weeks' postoperatively, the ginkgo was stopped, and the bleeding stopped 6 weeks later.
引用
收藏
页码:125 / 126
页数:2
相关论文
共 7 条
[1]  
CHUNG KF, 1987, LANCET, V1, P248
[2]  
Gilbert GJ, 1997, NEUROLOGY, V48, P1137, DOI 10.1212/WNL.48.4.1137
[3]   Antiplatelet and antithrombotic effects of a combination of ticlopidine and Ginkgo biloba ext (EGb761) [J].
Kim, YS ;
Pyo, MK ;
Park, KM ;
Park, PH ;
Hahn, BS ;
Wu, SJ ;
Yun-Choi, HS .
THROMBOSIS RESEARCH, 1998, 91 (01) :33-38
[4]   Spontaneous hyphema associated with ingestion of Ginkgo biloba extract [J].
Rosenblatt, M ;
Mindel, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (15) :1108-1108
[5]   Spontaneous bilateral subdural hematomas associated with chronic Ginkgo biloba ingestion [J].
Rowin, J ;
Lewis, SL .
NEUROLOGY, 1996, 46 (06) :1775-1776
[6]   Subarachnoid haemorrhage associated with Ginkgo biloba [J].
Vale, S .
LANCET, 1998, 352 (9121) :36-36
[7]  
WOERDENBAG HJ, 1997, ADVERSE EFFECTS HERB, P51