经皮冠状动脉介入治疗后肝素诱导的血小板减少症导致的冠状动脉血栓形成：易漏诊，难预防。
Coronary thrombosis due to heparin-induced thrombocytopenia after percutaneous coronary intervention: Easy to miss, uneasy to prevent.
作者信息
Mele Marco, Iacoviello Massimo, Casavecchia Grazia, Tricarico Lucia, Brunetti Natale Daniele
机构信息
Department of Cardiology Policlinico Riuniti Foggia Italy.
Department of Cardiology University of Foggia Foggia Italy.
出版信息
Clin Case Rep. 2020 Nov 7;9(1):90-92. doi: 10.1002/ccr3.3448. eCollection 2021 Jan.
Abstract
In case of unexplained post-PCI coronary thrombosis, a HIT should be always considered. A pragmatic approach with bivalirudin may be reasonable, even in absence of confirmed laboratory diagnosis.
摘要
对于PCI术后不明原因的冠状动脉血栓形成，应始终考虑肝素诱导的血小板减少症（HIT）。即使在没有确诊的实验室诊断的情况下，使用比伐卢定的务实方法可能是合理的。
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