原发性血小板增多症致急性心肌梗死1例治疗体会  

Medical treatment experience of acute myocardial infarction resulted from primary thrombocytosis

作　　者：江燕[1] 杨思进[1] 白雪[1] 贺勇[2] 

机构地区：[1]泸州医学院附属中医医院心脑病科,四川泸州646000 [2]四川大学华西医院心脏内科

出　　处：《临床心血管病杂志》2016年第1期105-107,共3页Journal of Clinical Cardiology

摘　　要：原发性血小板增多症（primary thrombocytosis）是一种病因未明,主要以骨髓中巨核细胞系异常增生,幼稚巨核细胞增多,从而产生大量形态及功能异常的血小板释放至血液循环中,导致以出血和血栓形成为主要特征的罕见疾病[1]。脾大、出血或血栓形成为其主要临床表现[2],而以急性心肌梗死为首发临床表现的则少见,其致死风险高。We reviewed one case of acute myocardial infarction resulted from primary thrombocytosis,and explored its diagnosis and treatment strategies.In November 24,2014,the angiography of coronary artery of a male youth with acute myocardial infarction indicated a three-vessel lesion.The routine blood test showed blood platelet count abnormality.By related checking,this case conformed to primary thrombocytosis.In conclusion,the possibility of primary thrombocytosis could be considered in clinical diagnosis when acute myocardial infarction is diagnosed with blood platelet count increase.

关 键 词：原发性血小板增多症 急性心肌梗死 血小板 

分 类 号：R542.2[医药卫生—心血管疾病]