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肺血栓栓塞症来源的尸检证实:尸检的重要性

Postmortem demonstration of the source of pulmonary thromboembolism: the importance of the autopsy.

作者信息

Elhammady Gina, Schubeck Andrew T, El-Najjar Vicky, Robinson Morton J

机构信息

Arkadi M Rywlin, M. D. Department of Pathology, Mount Sinai Medical Center and Herbert Wertheim College of Medicine, Florida International University, Miami, FL 3319, USA.

出版信息

Case Rep Vasc Med. 2011;2011:108215. doi: 10.1155/2011/108215. Epub 2011 Oct 18.

DOI:10.1155/2011/108215
PMID:22937459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420703/
Abstract

Periprostatic or paravaginal venous thromboses are rarely considered clinically as sites of clot origin in patients with pulmonary thromboembolism. The majority of emboli have been demonstrated to originate in the veins of the legs. This report raises awareness of pelvic vein thrombosis as a potential source of pulmonary embolism that is rarely considered or detected clinically, and which usually requires postmortem examination for recognition. It also reviews the possible routes emboli may take to reach the lungs.

摘要

前列腺周围或阴道旁静脉血栓形成在临床上很少被认为是肺血栓栓塞症患者血栓形成的部位。大多数栓子已被证明起源于腿部静脉。本报告提高了人们对盆腔静脉血栓形成作为肺栓塞潜在来源的认识,这种情况在临床上很少被考虑或检测到,通常需要尸检才能识别。它还回顾了栓子可能到达肺部的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/3420703/4412e03ba3c2/CRIM.VASMED2011-108215.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/3420703/1014c9080e45/CRIM.VASMED2011-108215.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/3420703/4412e03ba3c2/CRIM.VASMED2011-108215.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/3420703/1014c9080e45/CRIM.VASMED2011-108215.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cba/3420703/4412e03ba3c2/CRIM.VASMED2011-108215.002.jpg

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引用本文的文献

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The periprostatic venous plexus: an unusual source of fatal pulmonary embolism during corporoplasty.前列腺周围静脉丛:阴茎成形术期间致命性肺栓塞的罕见来源。
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Multi-phase postmortem CT angiography (MPMCTA): a new axillary approach suitable in fatal thromboembolism.多期死后 CT 血管造影(MPMCTA):一种适合致命性血栓栓塞的新腋窝入路方法。

本文引用的文献

1
Clinicopathologic correlation in thromboembolism.血栓栓塞的临床病理相关性
Surg Gynecol Obstet. 1959 Sep;109:259-69.
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Guidelines on diagnosis and management of acute pulmonary embolism. Task Force on Pulmonary Embolism, European Society of Cardiology.急性肺栓塞诊断与管理指南。欧洲心脏病学会肺栓塞特别工作组
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Factors influencing the clinical diagnosis of pulmonary embolism: analysis of 229 postmortem cases.影响肺栓塞临床诊断的因素:229例尸检病例分析
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