Lingual haematoma following treatment with streptokinase and heparin; anaesthetic management.

Williams, P J; Jani, P; McGlashan, J · Anaesthesia · 1994

case_report · Level V

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Abstract

A 79-year-old man with a diagnosis of myocardial infarction treated with streptokinase and heparin developed a large lingual haematoma, precipitating dysphagia and upper airway obstruction. Spontaneous haemorrhage into the tongue is a previously unreported but serious complication of thrombolytic therapy. Tracheal intubation was performed under local anaesthesia.

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