Streptokinase Therapy of Pulmonary Emboli With Heparin-Associated Thrombocytopenia

作者: Jeffrey I. Cohen

DOI: 10.1001/ARCHINTE.1985.00360090201031

关键词: PerfusionFibrinolytic therapyStreptokinaseComplete resolutionMedicineIntravenous streptokinaseHeparinThrombosisTransfusion therapySurgery

摘要: • A 59-year-old man developed pulmonary emboli with heparin-associated thrombocytopenia. He was treated simultaneously intravenous streptokinase and oral warfarin sodium. responded complete resolution of perfusion defects on lung scan did not have any hemorrhagic or thrombotic problems. Although optimal therapy for patients thrombocytopenia thrombosis is unknown, fibrinolytic may be useful despite thrombocytopenia, provided appropriate resources are available careful patient monitoring transfusion therapy. ( Arch Intern Med 1985;145:1725-1726)

参考文章(4)
J.N. Fiessinger, M. Aiach, M. Roncato, C. Debure, J.-C. Gaux, Critical ischemia during heparin-induced thrombocytopenia. Treatment by intra-arterial streptokinase Thrombosis Research. ,vol. 33, pp. 235- 238 ,(1984) , 10.1016/0049-3848(84)90185-3
DONALD N. KAPSCH, EDMUND K. M. TSOI, DONALD SILVER, Heparin-lnduced Thrombocytopenia, Thrombosis, and Hemorrhage Annals of Surgery. ,vol. 198, pp. 301- 306 ,(1983) , 10.1097/00000658-198309000-00006
DEREK J. KING, Heparin-Associated Thrombocytopenia Annals of Internal Medicine. ,vol. 100, pp. 535- 540 ,(1984) , 10.7326/0003-4819-100-4-535
Kelton Jg, Hirsh J, Bleeding associated with antithrombotic therapy. Seminars in Hematology. ,vol. 17, pp. 259- ,(1980)