原发性血小板减少性紫癜合并急性心肌梗死的直接经皮冠状动脉介入治疗：1例报告
Primary percutaneous coronary intervention for acute myocardial infarction with idiopathic thrombocytopenic purpura: a case report.
作者信息
Kim Jun Hyung, Park Keon Uk, Chun Woo Jung, Kim Seong Ho, Nah Deuk Young
机构信息
Department of Internal Medicine, Gyeongju Hospital, Dongguk University School of Medicine, Seokjang-dong, Gyeongju, Korea.
出版信息
J Korean Med Sci. 2006 Apr;21(2):355-7. doi: 10.3346/jkms.2006.21.2.355.
Abstract
Acute myocardial infarction (AMI) is rare in patients with idiopathic thrombocytopenic purpura (ITP). We describe a case of an AMI during thrombocytopenia in a patient with chronic ITP. A 47-yr-old woman presented with anterior chest pain and a low platelet count (21,000/microliter) at admission. Urgent coronary angiography revealed total occlusion of proximal right coronary artery and primary percutaneous coronary intervention (PCI) was performed successfully. This case suggests that primary PCI may be a therapeutic option for an AMI in patients with ITP, even though the patient had severe thrombocytopenia.
摘要
急性心肌梗死（AMI）在特发性血小板减少性紫癜（ITP）患者中较为罕见。我们描述了一例慢性ITP患者在血小板减少期间发生AMI的病例。一名47岁女性入院时出现前胸疼痛，血小板计数较低（21,000/微升）。紧急冠状动脉造影显示右冠状动脉近端完全闭塞，成功进行了直接经皮冠状动脉介入治疗（PCI）。该病例表明，即使患者存在严重血小板减少，直接PCI仍可能是ITP患者AMI的一种治疗选择。
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