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[一名患有急性血栓形成、急性主动脉夹层和急性下肢缺血患者的肝素诱导的血小板减少症]

[Heparin-induced thrombocytopenia in a patient with acute thrombosis, acute aortic dissection and acute lower limb ischaemia].

作者信息

Peteja M, Chmelo J, Zuchnická J, Zonča P, Mazur M

出版信息

Rozhl Chir. 2013 Nov;92(11):650-3.

Abstract

This case report presents the course of illness, as well as the diagnosis and therapy, of acute thrombosis and abdominal aortic dissection after Fogarty thrombectomy with the symptoms of acute limb ischaemia in a 42-year-old female patient suffering from heparin-induced thrombocytopenia. HIT is a severe iatrogenic complication emerging after unfractionated or low molecular weight heparin administration, with rather easy diagnosis; however, it is often neglected due to the rarity of its occurrence.

摘要

本病例报告介绍了一名42岁患有肝素诱导的血小板减少症的女性患者,在进行Fogarty血栓切除术出现急性肢体缺血症状后,发生急性血栓形成和腹主动脉夹层的病程、诊断及治疗情况。肝素诱导的血小板减少症是在使用普通肝素或低分子肝素后出现的一种严重医源性并发症,诊断相对容易;然而,由于其发生率较低,常常被忽视。

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