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白色血栓综合征:肝素治疗的一种罕见并发症。

White clot syndrome: a rare complication of heparin therapy.

作者信息

Tanner J R, Downs A R

出版信息

Can J Surg. 1986 Mar;29(2):122-4.

PMID:3955462
Abstract

A case of white clot syndrome in a 61-year-old man is reported. The patient suffered simultaneous aortic and vena caval thromboses while receiving heparin therapy for pulmonary embolism. Thrombocytopenia was noted. Thrombectomies successfully relieved the thromboses. Apart from heparin, no factors predisposing to aortic thrombosis were evident, and the patient remained well in the succeeding 7 years since. A brief review of the literature on the white clot syndrome suggests that the entity remains poorly defined, regarding both the mechanism of heparin-induced thrombocytopenia and its relation to thrombosis.

摘要

报告了一例61岁男性的白色血栓综合征病例。该患者在接受肝素治疗肺栓塞时,同时发生了主动脉和腔静脉血栓形成。发现有血小板减少症。血栓切除术成功解除了血栓。除肝素外,没有明显的导致主动脉血栓形成的因素,此后7年患者情况良好。对白色血栓综合征相关文献的简要回顾表明,关于肝素诱导的血小板减少症的机制及其与血栓形成的关系,该病症仍定义不清。

相似文献

1
White clot syndrome: a rare complication of heparin therapy.白色血栓综合征:肝素治疗的一种罕见并发症。
Can J Surg. 1986 Mar;29(2):122-4.
2
Heparin-induced thrombocytopenia with thrombosis after endovascular aneurysm repair.血管内动脉瘤修复术后肝素诱导的血小板减少症伴血栓形成
Vasc Endovascular Surg. 2009 Feb-Mar;43(1):89-92. doi: 10.1177/1538574408322660. Epub 2008 Sep 17.
3
[Arterial embolism and thrombocytopenia during heparin therapy].[肝素治疗期间的动脉栓塞和血小板减少症]
Schweiz Rundsch Med Prax. 1993 Jun 1;82(22):668-71.
4
[Fatal central pulmonary embolism under heparin therapy: white-clot syndrome].[肝素治疗期间发生的致命性中心型肺栓塞:白色血栓综合征]
Schweiz Med Wochenschr. 1997 May 3;127(18):762-5.
5
Heparin-induced thrombosis (white clot syndrome) secondary to prophylactic subcutaneous administration of heparin.预防性皮下注射肝素继发肝素诱导的血栓形成(白色血栓综合征)。
Can J Surg. 1988 Jan;31(1):33-4.
6
[White clot syndrome. Arterial and venous thromboses during heparin therapy with thrombopenia after bone surgery].[白色血栓综合征。骨外科手术后肝素治疗期间出现血小板减少伴动静脉血栓形成]
J Mal Vasc. 1983;8(2):139-42.
7
[Thrombosis of the inferior vena cava with successive lung embolization in a 15-year-old boy with nephrotic syndrome].
Padiatr Padol. 1986;21(1):69-74.
8
[Aorto-caval fistula due to abdominal aortic aneurysm rupture].[腹主动脉瘤破裂导致的主动脉-腔静脉瘘]
Srp Arh Celok Lek. 1997 Nov-Dec;125(11-12):370-4.
9
[White thrombus syndrome. Apropos of 4 new cases].[白色血栓综合征。关于4例新病例]
J Chir (Paris). 1985 Jun-Jul;122(6-7):375-7.
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Heparin-induced thrombocytopenia and thrombosis.肝素诱导的血小板减少症和血栓形成。
Prog Cardiovasc Dis. 2000 Jan-Feb;42(4):247-60. doi: 10.1053/pcad.2000.0420247.

引用本文的文献

1
Acute aortic occlusion in a patient with heparin-induced thrombocytopenia treated by thrombectomy.肝素诱导的血小板减少症患者行血栓切除术治疗急性主动脉闭塞
Ir J Med Sci. 2012 Sep;181(3):397-400. doi: 10.1007/s11845-010-0531-1. Epub 2010 Jul 28.