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采用溶栓治疗的巨大右心房血栓

Giant right atrial thrombi treated with thrombolysis.

作者信息

Ruiz-Bailén Manuel, López-Caler Carmen, Castillo-Rivera Ana, Rucabado-Aguilar Luis, Ramos Cuadra José Angel, Lara Toral Juan, Lozano Cabezas Cristobal, Fernández Guerrero Juan Carlos

机构信息

Critical Care and Emergencies Department, Hospital Universitario Médico-Quirúrgico, Jaén, Spain.

出版信息

Can J Cardiol. 2008 Apr;24(4):312-4. doi: 10.1016/s0828-282x(08)70183-1.

DOI:10.1016/s0828-282x(08)70183-1
PMID:18401474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2644038/
Abstract

The present report describes giant atrial thrombi that were treated with thrombolysis in a community hospital. Two patients with giant atrial thrombi whose treatment involved complications are presented. Both patients developed cardiogenic shock and were treated unsuccessfully with thrombolysis. Because thrombolysis of giant thrombi may be ineffective, patients in this situation may require surgery.

摘要

本报告描述了在一家社区医院接受溶栓治疗的巨大心房血栓。报告介绍了两名接受治疗时出现并发症的巨大心房血栓患者。两名患者均发生心源性休克，溶栓治疗均未成功。由于巨大血栓的溶栓治疗可能无效，处于这种情况的患者可能需要手术治疗。

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本文引用的文献

1
Imminent pulmonary embolism: a fatal mobile right atrial thrombus.急性肺栓塞：致命的右心房移动血栓。
Int J Cardiovasc Imaging. 2006 Feb;22(1):55-8. doi: 10.1007/s10554-005-7438-3. Epub 2005 Dec 14.
2
A positive outcome in patient with massive acute pulmonary embolism and right atrial mobile thrombus fragmented during thrombolysis: a serial echocardiographic examination.一例大面积急性肺栓塞合并右心房活动血栓患者在溶栓过程中血栓碎裂并获得阳性结果：一项系列超声心动图检查
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Complete lysis of left ventricular giant thrombus with fibrinolytic therapy in clopidogrel resistant patient.在氯吡格雷抵抗患者中，采用纤溶疗法使左心室巨大血栓完全溶解。
J Thromb Thrombolysis. 2003 Feb;15(1):59-63. doi: 10.1023/a:1026196502756.
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Giant right atrial thrombosis associated with Hickman catheter.与希克曼导管相关的巨大右心房血栓形成
Heart. 2003 Oct;89(10):1252. doi: 10.1136/heart.89.10.1252.
5
Giant left atrium, giant thrombus, and left atrial prolapse in a patient with mitral valve replacement.二尖瓣置换术后患者出现巨大左心房、巨大血栓及左心房脱垂。
Echocardiography. 2002 Nov;19(8):691-2. doi: 10.1046/j.1540-8175.2002.00691.x.
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Treatment of right heart thromboemboli.右心血栓栓塞的治疗。
Chest. 2002 Mar;121(3):806-14. doi: 10.1378/chest.121.3.806.
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Thrombolysis with recombinant tissue plasminogen activator during cardiopulmonary resuscitation in fulminant pulmonary embolism. A case series.重组组织型纤溶酶原激活剂在暴发性肺栓塞心肺复苏期间的溶栓治疗。病例系列报道
Resuscitation. 2001 Oct;51(1):97-101. doi: 10.1016/s0300-9572(01)00384-7.
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Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism: a review.暴发性肺栓塞心肺复苏期间的溶栓治疗：综述
Crit Care Med. 2001 Nov;29(11):2211-9. doi: 10.1097/00003246-200111000-00027.
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Massive right atrial thrombosis due to Hickman catheter requiring open heart surgery--a case report.因希克曼导管导致的巨大右心房血栓形成需行心脏直视手术——病例报告
Angiology. 2001 Jun;52(6):425-8. doi: 10.1177/000331970105200609.
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Ann Thorac Surg. 2001 Feb;71(2):733-4. doi: 10.1016/s0003-4975(00)02317-1.