Cohen J I, Cooper M R, Greenberg C S
Arch Intern Med. 1985 Sep;145(9):1725-6.
A 59-year-old man developed pulmonary emboli with heparin-associated thrombocytopenia. He was treated simultaneously with intravenous streptokinase and oral warfarin sodium. He responded with complete resolution of perfusion defects on lung scan and did not have any hemorrhagic or thrombotic problems. Although optimal therapy for patients with heparin-associated thrombocytopenia and thrombosis is unknown, fibrinolytic therapy may be useful despite thrombocytopenia, provided appropriate resources are available for careful patient monitoring and transfusion therapy.
一名59岁男性患肺栓塞并伴有肝素相关性血小板减少症。他同时接受了静脉注射链激酶和口服华法林钠治疗。他的肺部扫描灌注缺损完全消失，且未出现任何出血或血栓形成问题。尽管肝素相关性血小板减少症和血栓形成患者的最佳治疗方法尚不清楚，但在有适当资源用于仔细监测患者和输血治疗的情况下，纤溶治疗可能对血小板减少症患者有用。
