STREPTOKINASE THERAPY FOR EXTENSIVE VENOUS THROMBOSES IN A PATIENT WITH SEVERE ULCERATIVE-COLITIS

被引:10
作者
VANWOERT, JH [1 ]
THOMPSON, RC [1 ]
CANGEMI, JR [1 ]
METZGER, PP [1 ]
BLACKSHEAR, JL [1 ]
FLEMING, CR [1 ]
机构
[1] MAYO CLIN JACKSONVILLE, DIV GASTROENTEROL, JACKSONVILLE, FL 32224 USA
关键词
D O I
10.1016/S0025-6196(12)62727-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thromboembolic disease is a known complication of patients with inflammatory bowel disease and often is associated with increased morbidity and mortality. In a patient with severe ulcerative colitis, extensive venous thromboses developed in three extremities. Despite active bleeding in the lower gastrointestinal tract, he was successfully managed preoperatively with infusions of streptokinase followed by full-dose heparinization. During the 48 hours he received streptokinase, his venous thromboses resolved dramatically. Within 2 weeks after admission, he underwent an uneventful proctocolectomy in conjunction with an ileoanal anastomosis. © 1990, Mayo Foundation for Medical Education and Research. All rights reserved.
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收藏
页码:1144 / 1149
页数:6
相关论文
共 20 条
[11]   STUDIES ON BLOOD-COAGULATION IN ULCERATIVE-COLITIS AND CROHNS-DISEASE [J].
MORI, K ;
WATANABE, H ;
HIWATASHI, N ;
SUGAI, K ;
GOTO, Y .
TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 1980, 132 (01) :93-101
[12]   THROMBOCYTOSIS IN CHRONIC INFLAMMATORY BOWEL DISEASE [J].
MOROWITZ, DA ;
ALLEN, LW ;
KIRSNER, JB .
ANNALS OF INTERNAL MEDICINE, 1968, 68 (05) :1013-+
[13]   SUCCESSFUL STREPTOKINASE THERAPY FOR CATHETER-INDUCED SUBCLAVIAN VEIN-THROMBOSIS [J].
RUBENSTEIN, M ;
CREGER, WP .
ARCHIVES OF INTERNAL MEDICINE, 1980, 140 (10) :1370-1371
[14]   SUCCESSFUL FIBRINOLYTIC THERAPY FOR SUPERIOR VENA-CAVA THROMBOSIS SECONDARY TO LONG-TERM TOTAL PARENTERAL-NUTRITION [J].
SMITH, NL ;
RAVO, B ;
SOROFF, HS ;
KHAN, SA .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 1985, 9 (01) :55-57
[15]   SUBCLAVIAN VEIN-THROMBOSIS DURING PROLONGED CATHETERIZATION FOR PARENTERAL-NUTRITION - EARLY MANAGEMENT AND LONG-TERM FOLLOW-UP [J].
SMITH, VC ;
HALLETT, JW .
SOUTHERN MEDICAL JOURNAL, 1983, 76 (05) :603-606
[16]   SUBCLAVIAN VEIN THROMBOPHLEBITIS - COMPLICATION OF TOTAL PARENTERAL-NUTRITION (TPN) [J].
SOTOVELASCO, JM ;
STEIGER, E ;
ROMBEAU, JL ;
JAGELMAN, DG ;
SRP, F .
CLEVELAND CLINIC QUARTERLY, 1984, 51 (01) :159-166
[17]   STREPTOKINASE IN THE TREATMENT OF SUBCLAVIAN VEIN-THROMBOSIS [J].
STEED, DL ;
TEODORI, MF ;
PEITZMAN, AB ;
MCAULEY, CE ;
KAPOOR, WN ;
WEBSTER, MW .
JOURNAL OF VASCULAR SURGERY, 1986, 4 (01) :28-32
[18]   VASCULAR COMPLICATIONS OF INFLAMMATORY BOWEL-DISEASE [J].
TALBOT, RW ;
HEPPELL, J ;
DOZOIS, RR ;
BEART, RW .
MAYO CLINIC PROCEEDINGS, 1986, 61 (02) :140-145
[19]  
TALSTAD I, 1973, SCAND J GASTROENTERO, V8, P135
[20]   CENTRAL VENOUS THROMBOSIS - HAZARD OF MEDICAL PROGRESS [J].
WARDEN, GD ;
WILMORE, DW ;
PRUITT, BA .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1973, 13 (07) :620-626