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链激酶和肝素治疗后发生的舌部血肿;麻醉处理

Lingual haematoma following treatment with streptokinase and heparin; anaesthetic management.

作者信息

Williams P J, Jani P, McGlashan J

机构信息

Department of Anaesthesia, Guy's Hospital, London.

出版信息

Anaesthesia. 1994 May;49(5):417-8. doi: 10.1111/j.1365-2044.1994.tb03477.x.

DOI:10.1111/j.1365-2044.1994.tb03477.x
PMID:8209985
Abstract

A 79-year-old man with a diagnosis of myocardial infarction treated with streptokinase and heparin developed a large lingual haematoma, precipitating dysphagia and upper airway obstruction. Spontaneous haemorrhage into the tongue is a previously unreported but serious complication of thrombolytic therapy. Tracheal intubation was performed under local anaesthesia.

摘要

一名79岁诊断为心肌梗死的男性,接受链激酶和肝素治疗后出现巨大舌部血肿,引发吞咽困难和上呼吸道梗阻。舌部自发性出血是溶栓治疗一种此前未报告但严重的并发症。在局部麻醉下进行了气管插管。

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Lingual haematoma following treatment with streptokinase and heparin; anaesthetic management.链激酶和肝素治疗后发生的舌部血肿;麻醉处理
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Case of the month: A case of airway obstruction following tenecteplase administration.本月病例:一例注射替奈普酶后发生气道阻塞的病例。
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Arterial re-bleed following tPA administration.组织型纤溶酶原激活剂给药后动脉再出血。
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Lingual haematoma after treatment with alteplase (recombinant tissue plasminogen activator) for acute myocardial infarction.急性心肌梗死使用阿替普酶(重组组织型纤溶酶原激活剂)治疗后发生舌部血肿。
Br Heart J. 1995 Aug;74(2):205. doi: 10.1136/hrt.74.2.205.