Lingual Hematoma after Thrombolytic Therapy  

Oleh:

Vijayan, Sethumadhavan ; Chase, Alexander

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 07 (Feb. 2011), page 364:e13.
Topik: Acute Myocardial Infarction; Complication of Thrombolytic
Fulltext: Thrombolytic.pdf (48.08KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 66-year-old woman received standard doses of aspirin, clopidogrel, and a thrombolytic agent (10,000 units of tenecteplase) and 5000 units of unfractionated heparin for treatment of acute myocardial infarction with inferior ST-segment elevation. Reperfusion was not achieved, and subsequently the patient underwent successful rescue angioplasty of the right coronary artery. Six hours after the procedure, the patient reported a burning sensation in her tongue. Examination revealed a swollen tongue with a marked blue-black discoloration suggestive of lingual hematoma (Panels A and B). There was no recent history of endotracheal intubation or other intraoral trauma. The patient did not have stridor, dyspnea, dysphagia, or a change in vocal tone. Intravenous heparin was stopped, but the patient continued to receive aspirin and clopidogrel. She remained under close observation, and the hematoma resolved spontaneously after several days (Panel C). Bleeding is an important complication of thrombolytic therapy. Lingual hematoma may lead to life-threatening compromise of the airways.

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