急性心肌梗死溶栓治疗致脑梗死1例报告并文献复习

Wei Liu
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引用次数: 0

摘要

背景:溶栓治疗是st段抬高型心肌梗死的有效治疗方法之一。溶栓治疗最常见的并发症是出血。溶栓治疗引起的血栓栓塞在临床上极为罕见。然而,我们报告一个急性心肌梗死的溶栓治疗引起脑梗死的病例。病例报告:一名70岁男性自诉剑突下烧灼感7年,突然胸痛3小时。他被诊断为急性前st段抬高型心肌梗死。立即进行溶栓治疗,但患者在溶栓后3小时发生脑梗死。结论:溶栓治疗的常见并发症为脑出血或胃肠道出血,但当患者出现神经系统症状时,也应考虑脑梗死的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebral Infarction Caused by Thrombolytic Therapy for Acute Myocardial Infarction a Case Report and Literature Review
Background: Thrombolytic therapy is one of the effective treatments for ST-segment elevation myocardial infarction. The most common complication of thrombolytic therapy is hemorrhage. Thromboembolism caused by thrombolytic therapy is exceedingly rare in clinical practice. However, we report a case of cerebral infarction caused by thrombolytic therapy for acute myocardial infarction. Case Report: A 70-year-old man complained of burning sensation under the xiphoid process for 7 years and sudden chest pain for 3 hours. He was diagnosed with acute anterior ST-segment elevation myocardial infarction. Thrombolytic therapy was carried out immediately, but the patient developed cerebral infarction 3 hours after thrombolysis. CONCLUSION: The common complication of thrombolytic therapy is cerebral hemorrhage or gastrointestinal hemorrhage, but the possibility of cerebral infarction should also be taken into account when patients have neurological symptoms.
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