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低分子肝素致血小板增多症的临床特点分析

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目的 探讨低分子肝素致血小板增多症的临床特点.方法 检索中英文数据库(截至 2023 年 5 月),收集低分子肝素致血小板增多症的病例报道,提取患者相关信息,进行描述性统计分析.结果 共检索到低分子肝素致血小板增多症的病例报道 11 篇,涉及 13 例患者,中位年龄为 57 岁(0.1,67).低分子肝素主要用于治疗或预防静脉血栓栓塞.7 例患者同时合并了其他疾病,6 例患者描述了合并其他药物.血小板增多症发生的中位时间为8 d(3,28),患者均无相关的临床表现,血小板增多的中位值为836×109·L-1(596×109·L-1,1234×109·L-1).13例患者停用低分子肝素后血小板均恢复到正常水平,恢复到正常范围的中位时间为8 d(2,34).结论 低分子肝素致血小板增多症可发生在用药后3~28 d,仅表现为血小板升高,无相关临床症状,停用低分子肝素后血小板均可恢复至正常水平.临床医师和药师应关注低分子肝素致血小板增多症的不良反应.
Clinical characteristics of thrombocytosis induced by low molecular weight heparin
Objective To determine the clinical characteristics of thrombocytosis caused by low molecular weight heparin.Methods We searched both Chinese and English databases(as of May 2023),collected case reports of low molecular weight heparin-induced thrombocytosis,collected patient-related information,and descripbed the statistics.Results Totally 11 case reports of low molecular weight heparin-induced thrombocytosis were retrieved,involving 13 patients,with a median age of 57 years(0.1,67).Low molecular weight heparin was mainly used to treat or prevent venous thromboembolism.Seven patients had other diseases at the same time,and six patients described the combination use of other drugs.The median time of the occurrence of thrombocytosis was 8 d(3,28).There were no clinical manifestations in all patients.The median platelet count was 836×109·L-1(596×109·L-1,1234×109·L-1).After the low molecular weight heparin was discontinued in 13 patients,the platelets recovered to normal levels,and the median time to return to the normal range was 8 days(2,34).Conclusion Thrombocythemia caused by low molecular weight heparin may occur between 3 to 28 days,manifested as an increase in platelets.After discontinuing the low molecular weight heparin,the platelets return to normal levels.

thrombocytosislow molecular weight hepainadverse reaction

彭理、何阳、樊志强、龙远雄、陈镇、欧阳林旗、邓桂明

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湖南中医药大学第一附属医院,长沙 410007

血小板增多症 低分子肝素 不良反应

湖南省卫健委科研计划课题湖南中医药大学中药粉体与创新药物省部共建国家重点实验室培育基地开放基金项目湖南中医药大学科研基金项目国家中医药管理局中医药部门公共专项

C20231305795621PTKF10242019XJJJ0332100409

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(2)
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