摘要
目的报告2例本院急性ST段抬高型心肌梗死并心源性休克老年患者应用主动脉内球囊反搏(IABP)治疗后出现血小板减少现象的病例。方法回顾分析此2例患者的血小板变化情况及临床表现。结果 2例患者在使用IABP治疗后均出现不同程度的血小板减少。血小板最低的达35×109/L,但均未出现明显的出血倾向。其中1例患者因突发恶性心律失常死亡;另1例患者存活,该患者撤离IABP后血小板逐步恢复正常。结论急性ST段抬高型心肌梗死老年患者应用IABP治疗后可出现血小板减少现象,需要密切监测。
Objective To report two cases that thrombocytopenic phenomenon displied in acute ST segment elevation myocardial infarction and cardiogenic shock elder patients by intro-aortic balloon pump treating. Methods we analyzed two acute ST segment elevation myocardial infarction eider patients who treated by IABP, the platelet changed. Results Two patients who treated by IABP showed different degrees of reduction of platelet. The least platelet is 35 109/L. One elder patient died of malignant arrhythmia. The alive eider patient＇s plateiet returned normal when IABP was stopped. Conclusion IABP treating acute ST segment elevation myocardial infarction elder patients can induce thrombocytopenia, we must monitor.
出处
《中国医药科学》
2013年第12期170-171,共2页
China Medicine And Pharmacy
