Kontrolsüz çoklu sülük ısırması ile yapılan hirodoterapiye bağlı hemorajik şok

Hirudoterapi, sülükler kullanılarak yapılan alternatif bir tedavi yöntemidir. Özellikle ağrı, siyaledenit, osteoartrit ve venöz yetersizlik tedavisi için kullanılmaktadır. Sülüklerin salgısında bulunan hirudin adlı madde kan koagulasyonunu önleyerek kanamaya neden olmaktadır. Bu yazıda, bilinçsiz ve kontrolsüz yapılan hirudoterapinin aşırı kanamaya neden olarak hayati tehlike oluşturabileceğine dikkat çekilmesi amaçlandı. Bacaklarındaki derin ven trombozu nedeniyle warfarin kullanan ve bilinçsiz hirudoterapi uygulamasına bağlı olarak cilt kanamaları ve hemorajik şok ile Acil Servise başvuran nadir bir olgu sunuldu.

Anahtar Kelimeler:

Hemorajik şok, sülük ısırması, hirudoterapi

Hemorrhagic shock due to hirudotherapy made with uncontrolled multiple leech bites

Hirudotherapy is a alternative treatment method using leeches. It is especially used for the treatment of pain, sialadenitis, osteoartritis and venous insufficiency. Hirudin which is one of the secreted substances of leeches prevents blood coagulation and causes bleeding. In this paper, we aimed to draw attention to the unconsciously and uncontrolled done hirudotherapy which can become a serious life-threatening health problem. For this purpose, a rare case using warfarin for deep vein thrombosis in his legs and who admitted to emergency department with skin hemorrhages and hemorrhagic shock due to unconsciously done hirudotherapy is presented.

Keywords:

Hemorrhagic shock, leech bite, hirudotherapy,

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Yazışma Adresi / Address for Correspondence: Dr. Mehmet O ğuzhan Ay Adana Numune Eduction and Research Hospital Department of Emergency Medicine Ege Bagatur Bulvarı üzeri, 01240, ADANA e mail: droguzhan2006@mynet.com geliş tarihi/received :22.08.2013 kabul tarihi/accepted:16.09.2013