Baker J W, Mitchell S J, Dixon A R
Department of Surgery, North Bristol NHS Trust, Frenchay Hospital, Frenchay Park Road, Bristol BS16 1LE, UK.
Postgrad Med J. 2002 Jul;78(921):429. doi: 10.1136/pmj.78.921.429.
Haemorrhagic complications of thrombolytic therapy for myocardial infarction are common. A 68 year old man presented with a myocardial infarction and was started on tissue plasminogen activator. Soon after he experienced rectal bleeding and a barium enema showed a small carcinoma in the colon, which was treated surgically. It is important that gastrointestinal bleeding secondary to thrombolysis is always investigated for an underlying cause.
心肌梗死溶栓治疗的出血并发症很常见。一名68岁男性因心肌梗死就诊，开始接受组织型纤溶酶原激活剂治疗。不久后，他出现直肠出血，钡剂灌肠显示结肠有一个小癌肿，随后接受了手术治疗。重要的是，对于溶栓继发的胃肠道出血，必须始终调查其潜在病因。
