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[奎尼丁引发的致命性血小板减少症]

[Fatal thrombocytopenia triggered by quinidine].

作者信息

Rohold A, Nielsen H L, Hasle H

出版信息

Ugeskr Laeger. 1989 Oct 9;151(41):2672.

PMID:2815384
Abstract

A woman aged 60 years receiving anticoagulation treatment on account of artificial mitral and aortic valve prostheses developed severe thrombocytopenia three weeks after the commencement of quinidine treatment. The results of investigations suggested severe thrombocytopenia precipitated by quinidine. The severe thrombocytopenia persisted despite intensive treatment and the condition ended fatally on account of cerebral haemorrhage. The combination of quinidine and oral anticoagulation treatment is not unusual and it is important to bear in mind that both of these preparations may cause increased haemorrhagic tendencies.

摘要

一名60岁女性因人工二尖瓣和主动脉瓣假体接受抗凝治疗,在开始使用奎尼丁治疗三周后出现严重血小板减少症。调查结果提示奎尼丁诱发了严重血小板减少症。尽管进行了强化治疗,严重血小板减少症仍持续存在,患者最终因脑出血死亡。奎尼丁与口服抗凝治疗联合使用并不罕见,必须牢记这两种制剂都可能导致出血倾向增加。

相似文献

1
[Fatal thrombocytopenia triggered by quinidine].[奎尼丁引发的致命性血小板减少症]
Ugeskr Laeger. 1989 Oct 9;151(41):2672.
2
Intracranial hemorrhage associated with quinidine induced thrombocytopenia.
Ala Med. 1989 Oct;59(4):21, 24-5.
3
Quinidine-induced immune thrombocytopenia.奎尼丁诱导的免疫性血小板减少症。
Henry Ford Hosp Med J. 1989;37(1):28-32.
4
Isolated thrombocytopenia in a 56-year-old man with mitral stenosis.
Ala J Med Sci. 1986 Jan;23(1):67-73.
5
Quinidine-induced thrombocytopenia with pulmonary hemorrhage.
Arch Intern Med. 1980 Feb;140(2):266-7.
6
Unexpected findings concerning thromboembolic complications and anticoagulation after complete 10 year follow up of patients with St. Jude Medical prostheses.对使用圣犹达医疗公司假体的患者进行10年完整随访后,关于血栓栓塞并发症和抗凝的意外发现。
J Heart Valve Dis. 1993 May;2(3):291-301.
7
A second case of quinidine-induced thrombocytopenia with pulmonary hemorrhage.第二例奎尼丁诱发的血小板减少症伴肺出血。
Arch Intern Med. 1980 Sep;140(9):1250-1.
8
[Acute thrombocytopenia during treatment with quinidine].
Srp Arh Celok Lek. 1977 Mar-Apr;105(3-4):303-10.
9
Adverse reactions to anticoagulants and to antiplatelet drugs recorded by the German spontaneous reporting system.
Semin Thromb Hemost. 2005;31(4):371-80. doi: 10.1055/s-2005-916670.
10
Use of i.v. immune globulin for presumed quinidine-induced thrombocytopenia.静脉注射免疫球蛋白用于疑似奎尼丁诱发的血小板减少症的治疗。
Clin Pharm. 1989 Feb;8(2):89.

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