替奈普酶溶栓治疗心肌梗死后急性脉络膜上腔出血：管理考量
Acute suprachoroidal haemorrhage post-tenecteplase thrombolysis for myocardial infarction: management considerations.
作者信息
Trikha Sameer, Lockwood Alastair, Puvanachandra Narman, Kirwan James
机构信息
Queen Alexandra Hospital, Ophthalmology, Southwick Hill Road, Cosham, Portsmouth, Hampshire PO6 3LY, UK.
出版信息
BMJ Case Rep. 2010 May 13;2010:bcr11.2009.2460. doi: 10.1136/bcr.11.2009.2460.
Abstract
We report a case of a 63-year-old man who received intravenous tenecteplase as thrombolytic therapy for an inferior ST elevation myocardial infarction. Three hours later he complained of blurred vision in the right eye and on examination had sustained a suprachoroidal haemorrhage. With conservative treatment the haemorrhage resolved, leading to a normalisation of visual acuity. To the authors' knowledge, no case reports exist of this rare complication following intravenous tenecteplase. We discuss implications for further thrombolysis and anticoagulation.
摘要
我们报告了一例63岁男性患者，其因下壁ST段抬高型心肌梗死接受静脉注射替奈普酶进行溶栓治疗。三小时后，他主诉右眼视力模糊，检查发现有脉络膜上腔出血。经过保守治疗，出血得到缓解，视力恢复正常。据作者所知，尚无静脉注射替奈普酶后出现这种罕见并发症的病例报告。我们讨论了对进一步溶栓和抗凝治疗的影响。
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Acute suprachoroidal haemorrhage post-tenecteplase thrombolysis for myocardial infarction: management considerations.替奈普酶溶栓治疗心肌梗死后急性脉络膜上腔出血：管理考量
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