Don't miss HIT (heparin induced thrombocytopenia)

被引:8
作者
Horner, BM
Myers, SR
机构
[1] Chelsea & Westminster Hosp, SHO Plast Surg, London, England
[2] Chelsea & Westminster Hosp, Burns Unit, London, England
关键词
disseminated intravascular coagulation; heparin induced thrombocytopenia; burn; haemofiltration;
D O I
10.1016/j.burns.2003.09.010
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Thrombocytopenia following a burn injury can cause serious complications. There are several possible causes including the burn itself, drugs, sepsis and disseminated intravascular coagulation (DIC). A case report of a patient who developed heparin induced thrombocytopenia (HIT) whilst on haemofiltration for acute renal failure is presented. The aetiology of thrombocytopenia in a burns patient and its management is discussed. The key to effective treatment of thrombocytopenia is identification of the cause. HIT is an important diagnosis to include in the differential. (C) 2003 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:88 / 90
页数:3
相关论文
共 7 条
[1]   Disseminated intravascular coagulation: A review of etiology, pathophysiology, diagnosis, and management: Guidelines for care [J].
Bick, RL .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2002, 8 (01) :1-31
[2]  
BURSTEIN SA, 1981, HAEMOSTASIS THROMBOS
[3]   Risk factors for thrombosis in patients with immune mediated heparin-induced thrombocytopenia [J].
Fabris, F ;
Luzzatto, G ;
Soini, B ;
Ramon, R ;
Scandellari, R ;
Randi, ML ;
Girolami, A .
JOURNAL OF INTERNAL MEDICINE, 2002, 252 (02) :149-154
[4]   Use of a low-molecular-weight heparinoid (danaparoid sodium) for continuous renal replacement therapy in intensive care patients [J].
Lindhoff-Last, E ;
Betz, T ;
Bauersachs, R .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2001, 7 (04) :300-304
[5]  
Miller SF, 1999, BURNS, V25, P187
[6]  
WARHENTIN T, ARCH PATHOL LAB MED, V126, P1415
[7]  
1996, BURNS, V23, P591