Fireman Z, Yust I, Zahavi J, Kahn Y, Abramov L A
Postgrad Med J. 1979 Jan;55(639):36-8. doi: 10.1136/pgmj.55.639.36.
Two female patients who suffered from drug-induced thrombocytopenic purpura and subendocardial myocardial infarction are presented. One of them died from cerebral haemorrhage and diffuse subendocardial punctate haemorrhages were found at post-mortem. The abnormal haemostasis which is associated with thrombocytopenia might induce diffuse damage of the myocardium and might impair heart performance. This finding may be more frequent than hitherto appreciated and calls for serial electrographic tracings in thrombocytopenic patients.
本文报告了两名患有药物性血小板减少性紫癜和心内膜下心肌梗死的女性患者。其中一名患者死于脑出血，尸检时发现弥漫性心内膜下点状出血。与血小板减少相关的异常止血可能导致心肌弥漫性损伤，并可能损害心脏功能。这一发现可能比迄今所认识到的更为常见，因此需要对血小板减少患者进行系列心电图描记。
