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抗溶纤维蛋白制剂,如6-氨基已酸和凝血酸等药物,可用来防止年青妇女因使用节育器引起的子宫出血过多。使用这类药物的理论根据是使用节育器妇女子宫内膜纤维蛋白溶酶元激活因子含量增高。临床研究证明在未经选择使用节育器的妇女有月经过多者使用抗溶纤维蛋白制剂有效。但使用这些药物必须小心,因为可能引致血栓形成。1976年Rydin 和 Lundberg 报道了两名妇女因月经过多服用凝血酸引致脑血管栓塞。我们报道一例患者用凝血酸预防子宫出血,因此死于左颈内动脉血栓形成。患者26岁。过去身体健康,没有高血压病,糖
Anti-fibrin preparations, such as 6-aminocaproic acid and tranexamic acid, are used to prevent excessive uterine bleeding in young women due to the use of an IUD. The rationale behind the use of these drugs is the use of IUDs in women with increased endometrial fibrinol activator levels. Clinical studies have shown that the use of anti-fibrin formulations is effective in women who have menorrhagia without use of an IUD. However, caution must be exercised when using these drugs because they can cause thrombosis. In 1976, Rydin and Lundberg reported that two women had cerebrovascular embolism due to excessive menstrual intake of tranexamic acid. We report that one patient used tranexamic acid to prevent uterine bleeding and therefore died of left internal carotid artery thrombosis. The patient is 26 years old. In the past, good health, no hypertension, sugar