Heparin-induced thrombocytopenia in neurologic disease treated with unfractionated heparin

被引:30
作者
Harbrecht, U
Bastians, B
Kredteck, A
Hanfland, P
Klockgether, T
Pohl, C
机构
[1] Univ Bonn, Inst Expt Haematol & Transfus Med, D-53105 Bonn, Germany
[2] Univ Bonn, Dept Neurol, D-53105 Bonn, Germany
关键词
D O I
10.1212/01.WNL.0000110187.16764.9A
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The risk for immune-mediated heparin-induced thrombocytopenia (HIT) in neurologic patients receiving unfractionated heparin (UFH) is not known. In a prospective study of 200 patients, the authors found a 2.5% rate of HIT and a 2% rate of HIT-associated thromboses, suggesting that neurologic patients treated with UFH are at considerable risk for development of HIT and its complications. Prevalence of heparin-induced antibodies was 20.5% and was dependent on heparin dose. It was higher in cerebrovascular than in noncerebrovascular (29.4% versus 11.2%, p<0.01) patients.
引用
收藏
页码:657 / 659
页数:3
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