TY -的A2 Roosens c, d . A2 - Diez c . A2 - Lazzeri c . A2 - Mammina c . A2 - Pichler g . AU - Amer Syed AU -沙菲克,阿里AU -库雷希,瓦格盟——Muqeetadnan,默罕默德盟——哈桑,Syed PY - 2012 DA - 2012/12/20 TI -播散性血管内凝血急性冠脉支架血栓形成的可能原因:SP - 178260vl - 2012 AB -弥散性血管内凝血(DIC)是急性冠状动脉支架血栓形成的原因之一，据我们所知尚未见报道。我们报告一例64岁男性，表现为非st段抬高性心肌梗死(NSTEMI)。冠状动脉造影显示右冠状动脉(RCA)狭窄，并使用药物洗脱支架。干预15小时后，患者出现下壁ST段抬高心肌梗死。再次心导管检查显示支架内急性血栓形成。血栓摘除后，放置另一个支架。患者注意到在第二次干预后血小板计数出现急性下降。重复干预2小时后，患者再次出现胸痛，心电图显示II、III和aVF导联st段反复抬高。在再次心导管插入术之前，患者无反应并发展为心源性休克。 The patient was resuscitated and intubated, and repeat catheterization showed complete stent thrombosis. Intracoronary tissue plasminogen activator (tPA) was given. The platelet count further dropped. Additional studies confirmed the diagnosis of DIC. No further cardiac catheterization was done at this point. The patient then later had a cardiac arrest and unfortunately cardiopulmonary resuscitation could not revive him. Amongst the etiologies of acute stent thrombosis, DIC was deemed a possible cause. SN - 2090-6420 UR - https://doi.org/10.1155/2012/178260 DO - 10.1155/2012/178260 JF - Case Reports in Critical Care PB - Hindawi Publishing Corporation KW - ER -