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ST段抬高型心肌梗死溶栓治疗后发生肺泡出血:两例罕见病例报告及文献综述

Alveolar hemorrhage following thrombolysis in STEMI: Two rare case reports and review of the literature.

作者信息

Hamissou Ibrahim Oumarou

机构信息

Department of Cardiology, University Mohammed-V of Rabat, Morocco.

出版信息

Glob Cardiol Sci Pract. 2025 Feb 28;2025(1):e202516. doi: 10.21542/gcsp.2025.16.

Abstract

This retrospective study, conducted in the Cardiology-B department of Ibn Sina Hospital, Rabat, analyzed 44 patients and describes two rare cases of alveolar hemorrhage occurring after thrombolysis in patients diagnosed with ST-segment elevation myocardial infarction (STEMI). While contributing to the development of a larger registry for this rare condition, these two unique cases from our institution are noteworthy in their own right. We also surveyed the current literature to identify risk factors for alveolar hemorrhage following thrombolysis in STEMI patients to understand the underlying pathophysiological mechanisms and propose an optimal management strategy.

摘要

这项回顾性研究在拉巴特伊本·西那医院心脏病学B科进行,分析了44例患者,并描述了2例被诊断为ST段抬高型心肌梗死(STEMI)的患者在溶栓后发生肺泡出血的罕见病例。在为这种罕见疾病建立更大的登记系统做出贡献的同时,我们机构的这两个独特病例本身就值得关注。我们还查阅了当前文献,以确定STEMI患者溶栓后肺泡出血的危险因素,了解潜在的病理生理机制,并提出最佳管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5d/12085929/8679becc0777/gcsp-2025-1-e202516-g001.jpg

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