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长期皮下注射比伐芦定治疗特鲁索综合征(病例报告及文献综述)

Trousseau's syndrome treated with long-term subcutaneous lepirudin (case report and review of the literature).

作者信息

Andreescu A C, Cushman M, Hammond J M, Wood M E

机构信息

Department of Medicine, University of Vermont, Burlington 05401, USA.

出版信息

J Thromb Thrombolysis. 2001 Feb;11(1):33-7. doi: 10.1023/a:1008952126124.

DOI:10.1023/a:1008952126124
PMID:11248788
Abstract

We report here a case of recurrent venous and arterial thromboembolism, Trousseau's syndrome, in a cancer patient who developed heparin-induced thrombocytopenia. She was treated with lepirudin and after establishing the patient-specific half-life for subcutaneous lepirudin, she was successfully maintained on this therapy for more than eight months. To our knowledge this case represents the longest reported use of subcutaneous lepirudin.

摘要

我们在此报告一例癌症患者发生复发性静脉和动脉血栓栓塞(即特鲁索综合征),该患者出现了肝素诱导的血小板减少症。她接受了比伐卢定治疗,在确定了皮下注射比伐卢定的个体半衰期后,她成功接受该治疗超过八个月。据我们所知,此病例是皮下注射比伐卢定使用时间报道最长的。

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引用本文的文献

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本文引用的文献

1
Migratory thrombophlebitis associated with ovarian carcinoma.与卵巢癌相关的游走性血栓性静脉炎。
Am J Obstet Gynecol. 1952 Feb;63(2):467-9. doi: 10.1016/s0002-9378(15)32851-9.
2
Evaluation of a pharmacy-based surveillance program for heparin-induced thrombocytopenia.基于药房的肝素诱导的血小板减少症监测项目评估
Pharmacotherapy. 2000 Aug;20(8):974-80. doi: 10.1592/phco.20.11.974.35264.
3
Management of heparin-associated thrombocytopenia in pregnancy with subcutaneous r-hirudin.皮下注射重组水蛭素治疗妊娠期肝素相关性血小板减少症
Gynecol Obstet Invest. 2000;49(1):67-9. doi: 10.1159/000010216.
4
Generation of anti-hirudin antibodies in heparin-induced thrombocytopenic patients treated with r-hirudin.接受重组水蛭素治疗的肝素诱导的血小板减少症患者中抗水蛭素抗体的产生。
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Heparin-induced thrombocytopenia: a ten-year retrospective.肝素诱导的血小板减少症:十年回顾性研究
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6
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Treatment of thrombotic disorders in cancer patients.癌症患者血栓性疾病的治疗。
Haemostasis. 1997;27 Suppl 1:38-43. doi: 10.1159/000217481.
8
A comparison of recombinant hirudin with a low-molecular-weight heparin to prevent thromboembolic complications after total hip replacement.重组水蛭素与低分子量肝素预防全髋关节置换术后血栓栓塞并发症的比较。
N Engl J Med. 1997 Nov 6;337(19):1329-35. doi: 10.1056/NEJM199711063371901.
9
Subcutaneous recombinant hirudin (HBW 023) versus intravenous sodium heparin in treatment of established acute deep vein thrombosis of the legs: a multicentre prospective dose-ranging randomized trial. International Multicentre Hirudin Study Group.皮下注射重组水蛭素(HBW 023)与静脉注射肝素钠治疗已确诊的急性下肢深静脉血栓形成:一项多中心前瞻性剂量范围随机试验。国际多中心水蛭素研究组
Thromb Haemost. 1997 May;77(5):834-8.
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