特发性血小板减少性紫癜合并抗磷脂抗体综合征患者ACS后成功PCI术1例

1 病例资料患者,女,71岁,因"胸闷1d,突发晕厥1次"入院.患者本次入院为1d前(上午10时许)活动时出现压迫性胸骨中段胸闷,伴左侧手臂痛,出冷汗,伴头晕恶心,家属急送至我院急诊(约14:00时),患者于急诊门口突发晕厥,心电监护提示心室颤动,立即予心肺复苏、电除颤,10余分钟后好转,急查肌钙蛋白7.52 ng/...

Successful PCI after acute myocardial infarction in a patient with idiopathic thrombocytopenic purpura and antiphospholipid syndrome: one case report

Though it is rare idiopathic thrombocytopenic purpura or antiphospholipid syndrome could lead to acute myocardial infarction in patients. Here we present a patient with both idiopathic thrombocytopenic purpura and antiphospholipid syndrome who suffered from acute myocardial infarction. Laboratory tests showed a very low platelet count(26×10;/L). So we started anticoagulating therapy with intravenous unfractionated heparin first together with immunoregulation without antiplatelet. When the platelet count increased to more than 50×10;/L, percutaneous coronary intervention was performed in the stenotic coronary artery. There was no recurrence of chest pain, no bleeding or thrombotic events after the stenting or during the follow-up.