Darling K, Jaumotte C, Saussoy P, Zech F, Lavenne E, Hainaut P
General Internal Medicine Unit, Cliniques Universitaires St Luc, Bruxelles, Belgium.
Acta Clin Belg. 2000 May-Jun;55(3):176-81. doi: 10.1080/17843286.2000.11754291.
Heparin-induced thrombocytopaenia is a dreaded, although infrequent, complication of heparin therapy. We report two cases of heparin-induced thrombocytopaenia (HIT) type II occurring in a patient treated with standard (unfractionated) heparin and in another patient given a low-weight molecular heparin. The clinical course of the first patient illustrates the potentially severe thrombotic complications of HIT. Both cases were treated successfully by danaparoid sodium. Clues to the diagnosis and treatment are briefly discussed.
肝素诱导的血小板减少症是肝素治疗中一种可怕的并发症,尽管并不常见。我们报告了两例肝素诱导的II型血小板减少症(HIT),一例发生在接受标准(未分级)肝素治疗的患者中,另一例发生在接受低分子量肝素治疗的患者中。首例患者的临床病程说明了HIT潜在的严重血栓形成并发症。两例均通过达那肝素钠成功治疗。文中简要讨论了诊断和治疗的线索。