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肝素治疗期间血小板减少症并不常见。

Thrombocytopenia found uncommonly during heparin therapy.

作者信息

Powers P J, Cuthbert D, Hirsh J

出版信息

JAMA. 1979 Jun 1;241(22):2396-7.

PMID:571485
Abstract

In a prospective study to determine the frequency of thrombocytopenia in patients treated with intravenous heparin sodium of porcine gut origin, only four of 120 patients with suspected venous thromboembolism showed a depression of the platelet count to below 150 x 10(9)/L. In two of these patients, heparin was not considered to be the cause of thrombocytopenia because the platelet count, which fell transiently, rose again while heparin therapy was continued. These results indicate that thrombocytopenia is an uncommon complication of anticoagulant therapy with heparin derived from porcine gut mucosa.

摘要

在一项前瞻性研究中,为确定接受猪肠源性静脉注射肝素钠治疗的患者中血小板减少症的发生率,120例疑似静脉血栓栓塞的患者中只有4例血小板计数降至150×10⁹/L以下。在其中2例患者中,肝素不被认为是血小板减少症的病因,因为血小板计数虽短暂下降,但在继续肝素治疗时又再次上升。这些结果表明,血小板减少症是猪肠黏膜来源肝素抗凝治疗中一种不常见的并发症。

相似文献

1
Thrombocytopenia found uncommonly during heparin therapy.肝素治疗期间血小板减少症并不常见。
JAMA. 1979 Jun 1;241(22):2396-7.
2
Heparin and platelets.肝素与血小板。
Hematol Oncol Clin North Am. 1990 Feb;4(1):243-64.
3
Heparin-associated thrombocytopenia: low frequency in 104 patients treated with heparin of intestinal mucosal origin.肝素相关性血小板减少症:104例接受肠黏膜来源肝素治疗患者中的低发生率
Can Med Assoc J. 1979 May 5;120(9):1086-8.
4
Thrombocytopenia in a prospective, randomized, double-blind trial of bovine and porcine heparin.牛肝素和猪肝素前瞻性随机双盲试验中的血小板减少症
Am J Med Sci. 1984 Sep;288(2):60-4. doi: 10.1097/00000441-198409000-00003.
5
Heparin-induced thrombocytopenia: a prospective study.肝素诱导的血小板减少症:一项前瞻性研究。
Am J Hematol. 1984;17(4):349-53. doi: 10.1002/ajh.2830170404.
6
Heparin-induced immune thrombocytopenia.肝素诱导的免疫性血小板减少症。
N Engl J Med. 1976 Jul 29;295(5):237-41. doi: 10.1056/NEJM197607292950501.
7
Low incidence of thrombocytopenia with porcine mucosal heparin. A prospective multicenter study.猪黏膜肝素导致血小板减少症的发生率较低。一项前瞻性多中心研究。
Arch Intern Med. 1989 Jun;149(6):1285-8.
8
Low incidence of thrombocytopenia during treatment with hog mucosa and beef lung heparin.用猪黏膜和牛肺肝素治疗期间血小板减少症的发生率较低。
Scand J Haematol. 1980 Jul;25(1):19-24. doi: 10.1111/j.1600-0609.1981.tb01359.x.
9
[Prevention of thromboembolism as a cause of thromboembolic complications. A study of the incidence of heparin-induced thrombocytopenia type II].[预防作为血栓栓塞并发症病因的血栓形成。关于II型肝素诱导的血小板减少症发病率的研究]
Z Orthop Ihre Grenzgeb. 1997 Nov-Dec;135(6):543-9. doi: 10.1055/s-2008-1039743.
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Heparin induced thrombocytopenia: a prospective study.
Thromb Haemost. 1980 Feb 29;43(1):61-5.

引用本文的文献

1
Benefit-risk assessment of treatments for heparin-induced thrombocytopenia.肝素诱导的血小板减少症治疗的获益-风险评估
Drug Saf. 2003;26(9):625-41. doi: 10.2165/00002018-200326090-00003.
2
Valproic acid and immune thrombocytopenia.丙戊酸与免疫性血小板减少症。
Arch Dis Child. 1982 Sep;57(9):681-4. doi: 10.1136/adc.57.9.681.
3
Valproic acid and thrombocytopenia.丙戊酸与血小板减少症
Can Med Assoc J. 1981 Jul 1;125(1):63-4.