Birnbaum Y, Stahl B, Rechavia E
Cardiology Department, Beilinson Medical Center, Petah-Tikva, Israel.
Int J Cardiol. 1993 Jul 15;40(3):289-90. doi: 10.1016/0167-5273(93)90014-8.
We describe a 45-year-old man who developed a spontaneous hemarthrosis of his right knee following thrombolytic therapy with streptokinase and rtPA for acute myocardial infarction. Surprisingly, despite the wide use of thrombolytic therapy, only four cases of spontaneous hemarthrosis following thrombolysis have been previously reported. Prompt aspiration of the joint, after stopping anticoagulant therapy, and splinting will provide early diagnosis and may prevent further damage to the joint.
我们描述了一名45岁男性，他在接受链激酶和rtPA溶栓治疗急性心肌梗死后出现了右膝自发性关节积血。令人惊讶的是，尽管溶栓治疗应用广泛，但此前仅有4例溶栓后自发性关节积血的病例报道。停止抗凝治疗后及时抽吸关节积血并进行夹板固定可实现早期诊断，并可能防止对关节造成进一步损伤。
