以静脉肢体坏疽为特点的静脉血栓栓塞症并肝素诱导性血小板减少症的中西医结合治疗一例报道  

A Case Report of Venous Thromboembolism with Heparin-induced Thrombocytopenia Characterized by Venous Limb Gangrene Treated with Integrated Traditional Chinese and Western Medicine

作　　者：公瑞 张玥[2] 程志新[2] 唐卫荷 GONG Rui;ZHANG Yue;CHENG Zhixin;TANG Weihe(The First Clinical Medical College of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Department of Peripheral Vascular Diseases,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学第一临床医学院,山东省济南市250014 [2]山东中医药大学附属医院周围血管病科,山东省济南市250014

出　　处：《中国全科医学》2023年第6期769-774,共6页Chinese General Practice

基　　金：国家自然科学基金资助项目(81774311)。

摘　　要：肝素诱导性血小板减少症(HIT)和静脉肢体坏疽(VLG)是静脉血栓栓塞症(VTE)的罕见并发症,致死率、致残率较高。现报告1例以VLG为特点的VTE并发HIT的病例,在中西医结合治疗下取得了较为满意的治疗效果,以期为临床医师治疗此类疾病提供参考。Heparin-induced thrombocytopenia(HIT)and venous limb gangrene(VLG)are rare complications of venous thromboembolism(VTE),with high rates of mortality and morbidity once they occur.A case of VTE with HIT characterized by VLG is reported.Relatively satisfactory therapeutic effect has been achieved under the treatment of Integrated Traditional Chinese and Western Medicine,and we hope to provide a reference for clinicians to treat such diseases.

关 键 词：静脉血栓栓塞症 肝素诱导性血小板减少症 静脉肢体坏疽 中西医结合疗法 病例报告 

分 类 号：R558.2[医药卫生—血液循环系统疾病] R543.6[医药卫生—内科学]