医学
弥漫性肺泡出血
噻吩吡啶
急性冠脉综合征
阿司匹林
经皮冠状动脉介入治疗
噻氯匹定
并发症
冠状动脉支架
心脏病学
内科学
心肌梗塞
支架
肺出血
氯吡格雷
外科
肺
再狭窄
作者
Masataka Ikeda,Haruki Tanaka,Kenji Sadamatsu
标识
DOI:10.1016/j.carrev.2011.03.003
摘要
Diffuse alveolar hemorrhage after percutaneous coronary intervention is a rare complication that has been mostly reported in association with glycoprotein IIb/IIIa inhibitors. We herein report a case of a 64-year-old male who developed a diffuse pulmonary hemorrhage after coronary stent implantation for ST-elevation myocardial infarction. Diagnostic bronchoscopy determined the hemorrhage to be a bland pulmonary hemorrhage, and this pattern suggested that combination therapy with aspirin and ticlopidine was therefore the most likely cause. The combination of aspirin and thienopyridine agents is a routine therapeutic protocol for patients after coronary stent implantation. Therefore, physicians should be aware that this dual antiplatelet therapy might sometimes induce fatal complications.
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