...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of International Medical Research >Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report
【24h】

Bilateral multifocal muscular hemorrhage in the triceps surae during antiplatelet therapy: a case report

机译：双侧多焦点肌肉出血在Triceps Surae期间抗血小板治疗：案例报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Hemorrhagic complications are often reported following antiplatelet therapy; however, simultaneous multifocal hemorrhages in both legs are uncommon. The patient was a 75-year-old man diagnosed with ST elevation myocardial infarction who underwent percutaneous coronary intervention in the right coronary artery. He was prescribed oral acetylsalicylic acid and ticagrelor. Three days after initial drug treatment, he complained of bilateral leg pain that was aggravated by walking and moving his ankle across a broad range of motion. No deep vein thrombosis was detected on Doppler ultrasonography; however, muscular hemorrhage was suspected according to musculoskeletal ultrasonography. Multifocal muscular hemorrhage was confirmed in the soleus and gastrocnemius muscles on magnetic resonance imaging. To reduce the risk of bleeding, we changed the medication from ticagrelor to clopidogrel. The patient performed leg elevation exercises, compression, and applied an ice pack. He also performed range of motion exercises and gait training in addition to receiving drug treatment. With these therapies, his pain score improved from 5 to 3 on a visual analog scale, without further complications. Multifocal muscular hemorrhage rarely occurs bilaterally; however, when it does occur, an appropriate treatment plan can be developed based on musculoskeletal ultrasonography.
机译：抗血小板疗法常常报告出血性并发症;然而，两条腿同时的多焦点出血都不常见。患者是一名75岁男子，被诊断患有ST升高心肌梗死，在右冠状动脉中经过经皮冠状动脉介入。他被规定的口服乙酰胱氨酸和TiCagrelor。初始药物治疗后三天，他抱怨双侧腿部疼痛，通过行走并在广泛的运动中移动他的脚踝加剧。在多普勒超声检查中检测到没有深静脉血栓形成;然而，根据肌肉骨骼超声检查怀疑肌肉出血。在磁共振成像上的Soleus和Gastrocnemius肌肉中证实了多灶性肌肉出血。为了降低出血的风险，我们将药物从TiCagrelor改为氯吡格雷。患者进行了腿抬高锻炼，压缩并施加了冰袋。除了接受药物治疗外，他还表现出运动锻炼和步态培训。通过这些疗法，他的疼痛评分在视觉模拟规模上从5到3改善，无需进一步并发症。多焦点肌肉出血很少发生双侧;然而，当发生这种情况时，可以基于肌肉骨骼超声检查开发适当的治疗计划。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号