FATAL HEMOSTATIC COMPLICATIONS DUE TO THROMBOLYTIC THERAPY IN PATIENTS FALSELY DIAGNOSED AS ACUTE MYOCARDIAL-INFARCTION

被引:27
作者
ERIKSEN, UH [1 ]
MOLGAARD, H [1 ]
INGERSLEV, J [1 ]
NIELSEN, TT [1 ]
机构
[1] SKEJBY UNIV HOSP, DEPT IMMUNOL, DK-8200 AARHUS N, DENMARK
关键词
THROMBOLYSIS; MYOCARDIAL INFARCTION; AORTIC DISSECTION; HEMORRHAGIC PERICARDITIS; STREPTOKINASE;
D O I
10.1093/oxfordjournals.eurheartj.a060266
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report describes the fate of two young men wrongly treated with thrombolysis for suspected myocardial infarction. Both had electrocardiographic changes upon admission. Correct diagnosis of aortic dissection and haemorhagic pericarditis was obtained within a few hours, but due to the prolonged disturbance of haemostasis, appropriate therapy could not be instituted, and outcome was fatal for both patients. These cases underline the importance of rigid ST criteria, and procedures for neutralization of thrombolysis are proposed. © 1992 The European Society of Cardiology.
引用
收藏
页码:840 / 843
页数:4
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