García-Rubira J C, García-Martinez J T, Cruz J M
Coronary Care Unit, Hospital Universitario Virgen Macarena, Seville, Spain.
Int J Cardiol. 1990 Nov;29(2):243-4. doi: 10.1016/0167-5273(90)90229-x.
A young patient with systemic lupus erythematosus was admitted to our hospital because of acute myocardial infarction, and treated by thrombolysis. Coronary angiography revealed a significant stenosis of the left anterior descending artery, together with an intraluminal thrombus. Clotting studies demonstrated an anticoagulant factor suggestive of lupus erythematosus. We conclude that thrombolytic therapy can be useful in patients with systemic lupus erythematosus who present with acute myocardial infarction, although some caution is needed in treatment.
一名患有系统性红斑狼疮的年轻患者因急性心肌梗死入住我院，并接受了溶栓治疗。冠状动脉造影显示左前降支严重狭窄，伴有管腔内血栓。凝血研究显示存在提示系统性红斑狼疮的抗凝因子。我们得出结论，溶栓治疗对患有急性心肌梗死的系统性红斑狼疮患者可能有用，尽管治疗时需要谨慎。
