濒发性反常栓塞：一种罕见但重要的诊断。
Impending paradoxical embolism: a rare but important diagnosis.
作者信息
Speechly-Dick M E, Middleton S J, Foale R A
机构信息
St Mary's Hospital, London.
出版信息
Br Heart J. 1991 Mar;65(3):163-5. doi: 10.1136/hrt.65.3.163.
Abstract
A man aged 50 presented with a history of a cerebrovascular accident and arterial embolism at two discrete peripheral sites. Echocardiography showed thrombus trapped in an interatrial site and impending paradoxical embolism was diagnosed. Treatment with heparin was started and the potentially embolic intracardiac material was removed at open heart surgery. The patient was treated with warfarin and made a good recovery. This is only the third case report of impending paradoxical embolism diagnosed in life.
摘要
一名50岁男性，有脑血管意外病史，且在两个不同的外周部位发生动脉栓塞。超声心动图显示血栓被困在心房部位，诊断为即将发生反常栓塞。开始使用肝素治疗，并在心脏直视手术中取出了潜在的栓塞性心内物质。患者接受华法林治疗后恢复良好。这是仅有的第三例生前诊断为即将发生反常栓塞的病例报告。
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