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海德综合征:老年重度主动脉瓣狭窄患者的常见诊断。

Heyde syndrome: a common diagnosis in older patients with severe aortic stenosis.

作者信息

Massyn M W, Khan S A

机构信息

Department of Elderly Care, Lister Hospital, Corey's Mill Lane, Stevenage, Herts SG1 4AB, UK.

出版信息

Age Ageing. 2009 May;38(3):267-70; discussion 251. doi: 10.1093/ageing/afp019. Epub 2009 Mar 10.

Abstract

Heyde syndrome is a triad of aortic stenosis, an acquired coagulopathy and anaemia due to bleeding from intestinal angiodysplasia. The evidence that aortic stenosis is the root cause of this coagulopathy is compelling. Resolution of anaemia usually follows aortic valve replacement. This article discusses studies linking aortic stenosis with other conditions in the triad as well as diagnosis and management of this complex pathology.

摘要

海德综合征是一种三联征,包括主动脉瓣狭窄、获得性凝血病以及因肠道血管发育异常出血导致的贫血。主动脉瓣狭窄是这种凝血病根本原因的证据确凿。贫血通常在主动脉瓣置换术后得到缓解。本文讨论了将主动脉瓣狭窄与该三联征中的其他病症相关联的研究,以及这种复杂病理状况的诊断和管理。

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