肝素诱导的血小板减少并再发急性心肌梗死1例

发布时间：2018-03-24 01:17

本文选题：急诊冠脉造影　切入点：Firebird　出处：《广东医学》2016年20期

【摘要】：正患者,男,64岁。因胸痛4 h于2015年8月5日收入院治疗。患者有高血压病史。入院心电图:急性下壁心肌梗死(见图1)。急诊血常规示血小板282×109·L-1,急诊冠脉造影见:左主干远端欠光滑,前降支近中段狭窄80%~90%,回旋支较小,开口及近段狭窄60%,中段闭塞,右冠优势型,近段狭窄30%~40%,中远段闭塞,于右冠植入Firebird2支架1枚,术中使用肝素抗凝。术后予以阿司匹林、氯吡格雷、低分子肝素、替罗非班抗栓治疗,多
[Abstract]:Are patients, male, 64 years old. Because of chest pain for 4 h in August 5, 2015 admitted to the hospital. The patients with hypertension. The admission ECG: acute inferior myocardial infarction (see Figure 1). 282 x 109 emergency blood platelet in L-1, emergency coronary angiography: left main artery distal less smooth, anterior descending stenosis of the proximal and middle 80%~90% the circumflex, small, open and proximal stenosis 60%, middle occlusion of right coronary dominant type, proximal 30%~40% stenosis, distal occlusion in the right coronary Firebird2 implantation of 1 stents, the use of heparin during operation. Postoperative aspirin, clopidogrel, low molecular heparin, tirofiban antithrombotic therapy many

【作者单位】：广东省韶关市粤北人民医院心内科;
【分类号】：R542.22;R558.2

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