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肝素治疗期间的血小板减少性紫癜。两例报告(作者译)

[Thrombocytopenic purpura during heparinotherapy. Two cases (author's transl)].

作者信息

Tobelem G, Michel H, de la Baume H, Brechot C, Degos L, Schaison G

出版信息

Nouv Presse Med. 1979 Nov 12;8(44):3649-52.

PMID:93273
Abstract

In two patients treated by heparin for thrombosis, thrombocytopenia under 10 000/cumm occured accompanied with bleeding cud recurrent thrombosis. The demonstration in the patients' serum of a factor inducing platelet aggregation and serotonin release in the presence of heparin suggests that the thrombocytopenia could be of immuno-allergic origin. In both cases, the discontinuation of heparin resulted in clinical and biological improvement. The rare cases of heparin-induced thrombocytopenia reported in the literature are discussed.

摘要

在两名因血栓形成接受肝素治疗的患者中,出现了血小板计数低于10000/立方毫米的血小板减少症,并伴有出血和复发性血栓形成。在患者血清中发现一种在肝素存在下可诱导血小板聚集和5-羟色胺释放的因子,提示血小板减少症可能源于免疫过敏。在这两例中,停用肝素后临床和生物学状况均得到改善。本文讨论了文献中报道的罕见的肝素诱导的血小板减少症病例。

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