腋股血管移植术后的消耗性凝血病和微血管病性溶血性贫血。

Consumption coagulopathy and microangiopathic hemolytic anemia with an axillo-femoral graft.

作者信息

Myers T J, Hild D H

出版信息

Circulation. 1977 Nov;56(5):891-3. doi: 10.1161/01.cir.56.5.891.

DOI:10.1161/01.cir.56.5.891

Abstract

Consumption coagulopathy and microangiopathic hemolytic anemia occurred as a complication of insertion of an axillofemoral, preclotted dacron graft. Treatment with heparin followed by dipyridamole and aspirin normalized the hematologic and coagulation abnormalities over a two month period. The mechanism of consumption coagulopathy associated with prosthetic grafts is discussed and a possible role for treatment with antiplatelet agents is suggested.

摘要

消耗性凝血病和微血管病性溶血性贫血是腋股部预凝涤纶人工血管植入术后的并发症。肝素治疗后接着使用双嘧达莫和阿司匹林，在两个月的时间里使血液学和凝血异常恢复正常。文中讨论了与人工血管相关的消耗性凝血病的机制，并提出了抗血小板药物治疗的可能作用。