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经胸超声心动图显示溶栓治疗后右心房血栓迅速溶解。

Transthoracic echocardiography documents prompt resolution of right atrial thrombus after thrombolytic therapy.

作者信息

Lee K S, Pashkow F J, Homa D A, Salcedo E E

机构信息

Cleveland Clinic Foundation, Department of Cardiology, OH 44195.

出版信息

J Am Soc Echocardiogr. 1992 Sep-Oct;5(5):541-3. doi: 10.1016/s0894-7317(14)80045-x.

DOI:10.1016/s0894-7317(14)80045-x
PMID:1389222
Abstract

Right atrial thrombi represent pulmonary emboli in transit, and they may be fatal in patients treated conservatively with anticoagulation. This case provides an opportunity to review echocardiographic findings and management decisions in this disease entity. As the literature now favors thrombolytic therapy in suitable patients, we present a case in which transthoracic echocardiography provided rapid assessment of the outcome of this form of therapy.

摘要

右心房血栓代表正在形成的肺栓塞,对于接受抗凝保守治疗的患者可能是致命的。本病例为回顾这一疾病实体的超声心动图表现及治疗决策提供了契机。由于目前文献支持对合适的患者采用溶栓治疗,我们呈现一例经胸超声心动图快速评估这种治疗方式疗效的病例。

相似文献

1
Transthoracic echocardiography documents prompt resolution of right atrial thrombus after thrombolytic therapy.经胸超声心动图显示溶栓治疗后右心房血栓迅速溶解。
J Am Soc Echocardiogr. 1992 Sep-Oct;5(5):541-3. doi: 10.1016/s0894-7317(14)80045-x.
2
Life-threatening pulmonary embolism with right-sided heart thrombus. Rapid recovery with recombinant tissue plasminogen activator.伴有右心血栓的危及生命的肺栓塞。重组组织型纤溶酶原激活剂治疗后快速康复。
Chest. 1994 Apr;105(4):1291-2. doi: 10.1378/chest.105.4.1291.
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Transthoracic and transoesophageal echocardiographic documentation of disappearance of massive right atrial and pulmonary artery thromboemboli after fibrinolytic therapy and normalization of left ventricular dimensions and function.经胸和经食管超声心动图记录显示,纤维蛋白溶解疗法后大量右心房和肺动脉血栓栓塞消失,左心室大小和功能恢复正常。
Eur Heart J. 1990 Sep;11(9):863-5. doi: 10.1093/oxfordjournals.eurheartj.a059810.
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Thrombolytic therapy for right atrial and pulmonary embolus.右心房及肺栓塞的溶栓治疗。
J Invasive Cardiol. 2003 Nov;15(11):675-6.
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[Diagnosis and assessment of thrombolytic efficacy in left atrial thrombosis using transesophageal echocardiography].[经食管超声心动图对左心房血栓溶栓疗效的诊断与评估]
Cardiologia. 1992 Jul;37(7):469-73.
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[Successful thrombolytic therapy in massive pulmonary embolism and right atrial thrombus--presentation of 2 case reports].
Med Klin (Munich). 1996 Nov 15;91(11):725-8.
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[Thrombus in transit - two cases of patients with massive pulmonary embolism treated with thrombolysis].[移动性血栓——两例接受溶栓治疗的大面积肺栓塞患者]
Kardiol Pol. 2008 Jun;66(6):669-76; discussion 677.
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Successful thrombolysis of right atrial and ventricle thrombi in a patient with peripartum cardiomyopathy and extensive thromboembolism.一名患有围产期心肌病和广泛血栓栓塞的患者右心房和心室血栓成功溶栓。
Heart. 1997 Nov;78(5):515-6. doi: 10.1136/hrt.78.5.515.
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[A right atrial thrombus in transit: its echocardiographic diagnosis 72 hours before a pulmonary embolism].[移动性右心房血栓:肺栓塞前72小时的超声心动图诊断]
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Urokinase therapy for a catheter-related right atrial thrombus and pulmonary embolism in a 2-month-old infant.尿激酶治疗一名2个月大婴儿的导管相关右心房血栓及肺栓塞
Pediatr Pulmonol. 1986 Sep-Oct;2(5):303-6. doi: 10.1002/ppul.1950020510.

引用本文的文献

1
Thrombolysis is an appropriate treatment in lead-associated infective endocarditis with giant vegetations located on the right atrial lead.对于右心房导联上有巨大赘生物的铅相关感染性心内膜炎,溶栓是一种合适的治疗方法。
BMJ Case Rep. 2012 Jun 14;2012:bcr0920114855. doi: 10.1136/bcr.09.2011.4855.