Abstract:Massive hemoptysis is a serious complication of bronchiectasis.When patients suffering from other complications,the risk of hemorrhage and thrombosis being coexistent,it is more difficult to treat in clinic.This article presents a case of massive hemoptysis after percutaneous coronary intervention (PCI)in a patient with bronchiectasis.The process of the clinical pharmacist participating in therapeutic regimen was introduced and the treatment scheme of hemostasis and antithrombosis was analyzed in order to explore how to selecte appropriate hemostatic drugs and determine the suitable antithrombotic treatment strategy in these special patients.The results showed that procaine can obtain good hemostasis in patients with severe hemoptysis after PCI,and reduce the incidence of adverse reactions;at the same time,it shortens the dual antiplatelet treatment course.The use of aspirin as a monoclonal antibody treatment can prevent the occurrence of bleeding and thrombotic events.
陆春苓. 1例支气管扩张患者PCI术后咯血的病例分析[J]. 中国当代医药, 2018, 25(26): 167-169.
LU Chun-ling. Analysis of hemoptysis after PCI in one patient with bronchiectasis. 中国当代医药, 2018, 25(26): 167-169.
Windecker S,Kolh P,Alfonso F,et al.2014 ESC/EACTS Guidelines on myocardial revascularization of the European Society of Cardiology(ESC) and the European Association for Cardio_Thoracic Surgery (EACTS) developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI)[J].Eur Heart J,2014,35(37):2541-2619.
[12]
Levine GN,Bates ER,Blankenship JC,et al.2011ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention.A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions[J].J Am Coll Cardiol,2011,58(24):e44-122.
[14]
Bittl JA,Baber U,Bradley SM,et al.Duration of dual antiplatelet therapy:a systematic review for the 2016 ACC/AHA Guideline Focused Update on duration of dual antiplatelet therapy in patients with coronary artery disease:a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines[J].J Am Coll Cardiol,2016,68(10):1116-1139.