Toupin L R, Blanchard D G
Department of Internal Medicine, University of California, San Diego School of Medicine.
Int J Cardiol. 1993 Jul 15;40(3):283-5. doi: 10.1016/0167-5273(93)90012-6.
Thrombolytic agents are routinely given to patients with acute myocardial infarction, often in combination with heparin. Genitourinary hemorrhage is an uncommon adverse effect of systemic thrombolysis, and acute azotemic complications are distinctly rare. We describe a case of genitourinary hemorrhage after combined thrombolytic and antithrombotic therapy leading to acute bilateral ureteral obstruction and then briefly review renal complications of systemic thrombolysis.
溶栓药物通常用于急性心肌梗死患者，常与肝素联合使用。泌尿生殖系统出血是全身溶栓治疗罕见的不良反应，急性氮质血症并发症则极为罕见。我们描述了一例溶栓和抗栓联合治疗后发生泌尿生殖系统出血导致急性双侧输尿管梗阻的病例，并简要回顾全身溶栓治疗的肾脏并发症。
