Dajee H, Deutsch L S, Benson L N, Perloff J K, Laks H
Ann Thorac Surg. 1984 Dec;38(6):637-9. doi: 10.1016/s0003-4975(10)62326-0.
Immediate postoperative thrombosis of left superior vena cava-left pulmonary artery anastomosis in a modified Fontan procedure for single ventricle and pulmonary artery stenosis is described. Before thrombolytic therapy with streptokinase is initiated, confirmation of thrombosis by venography is mandatory to lessen the risk of cardiac tamponade or hemothorax. By this technique major surgical intervention is avoided, but close attention to the dose of streptokinase and the coagulation profile is essential. Measures to be taken if bleeding occurs with streptokinase therapy are described.
描述了在单心室和肺动脉狭窄的改良Fontan手术中，左上腔静脉-左肺动脉吻合术后立即发生的血栓形成。在开始使用链激酶进行溶栓治疗之前，必须通过静脉造影确认血栓形成，以降低心脏压塞或血胸的风险。通过这种技术可避免重大手术干预，但密切关注链激酶的剂量和凝血情况至关重要。文中描述了链激酶治疗出现出血时应采取的措施。
