HEPARIN-INDUCED THROMBOCYTOPENIA AND THROMBOSIS - REVERSAL WITH STREPTOKINASE - A CASE-REPORT AND REVIEW OF LITERATURE

被引:35
作者
MEHTA, DP
YODER, EL
APPEL, J
BERGSMAN, KL
机构
[1] WAYNE STATE UNIV, SCH MED, GRACE HOSP, DEPT INTERNAL MED, DETROIT, MI 48201 USA
[2] UNIV N CAROLINA, DIV RHEUMATOL, CHAPEL HILL, NC 27514 USA
关键词
HEPARIN; THROMBOCYTOPENIA; THROMBOSIS; STREPTOKINASE;
D O I
10.1002/ajh.2830360410
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Heparin-induced thrombocytopenia and thrombosis is associated with a significant incidence of morbidity and mortality. Prompt recognition of this complication and immediate withdrawal of heparin therapy are imperative. This report describes a case of heparin-induced thrombosis and thrombocytopenia with major vascular insufficiency of the extremities. This is the first reported instance of the use of intravenous streptokinase for the treatment of heparin-induced venous thrombosis.
引用
收藏
页码:275 / 279
页数:5
相关论文
共 55 条
[1]   HEPARIN-INDUCED THROMBOCYTOPENIA AND RECURRENT THROMBOEMBOLISM [J].
ANSELL, J ;
DEYKIN, D .
AMERICAN JOURNAL OF HEMATOLOGY, 1980, 8 (03) :325-332
[2]   HEPARIN-INDUCED IMMUNE THROMBOCYTOPENIA [J].
BABCOCK, RB ;
DUMPER, W ;
SCHARFMAN, WB .
NEW ENGLAND JOURNAL OF MEDICINE, 1976, 295 (05) :237-241
[3]   ARTERIAL THROMBOEMBOLISM IN PATIENTS RECEIVING SYSTEMIC HEPARIN THERAPY - COMPLICATION ASSOCIATED WITH HEPARIN-INDUCED THROMBOCYTOPENIA [J].
BAIRD, RA ;
CONVERY, FR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1977, 59 (08) :1061-1064
[4]   THROMBOCYTOPENIA OCCURRING DURING ADMINISTRATION OF HEPARIN - PROSPECTIVE-STUDY IN 52 PATIENTS [J].
BELL, WR ;
TOMASULO, PA ;
ALVING, BM ;
DUFFY, TP .
ANNALS OF INTERNAL MEDICINE, 1976, 85 (02) :155-160
[5]   HEPARIN-ASSOCIATED THROMBOCYTOPENIA - A COMPARISON OF 3 HEPARIN PREPARATIONS [J].
BELL, WR ;
ROYALL, RM .
NEW ENGLAND JOURNAL OF MEDICINE, 1980, 303 (16) :902-907
[6]  
BENHAMOU AC, 1985, INT ANGIOL, V4, P303
[7]  
CARRERAS LO, 1980, SCAND J HAEMATOL, V25, P64
[8]  
CHANG JC, 1987, HEART LUNG, V16, P403
[9]   THROMBOCYTOPENIA ASSOCIATED WITH MINIDOSE HEPARIN-THERAPY [J].
CHENG, TC .
POSTGRADUATE MEDICINE, 1981, 70 (06) :73-&
[10]  
CHONG BH, 1982, LANCET, V2, P1246