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蛋白C缺乏所致重度肺动脉高压经药物治疗后可逆转

[Severe pulmonary arterial hypertension caused by protein C deficiency reversible after medical treatment].

作者信息

Martínez Ferrer J, Menchaca C, Alonso Gómez A, Camacho I, Cordo J C, Martín C

机构信息

Unidad Funcional de Cardiología, Hospital de Txagorritxu, Vitoria-Gasteiz.

出版信息

Rev Esp Cardiol. 1990 Mar;43(3):195-7.

PMID:2333405
Abstract

We report the case of a young man with severe pulmonary hypertension caused by multiple thromboembolism subsequent to congenital protein C deficit. During the previous phase to haematological treatment we showed a very poor response to vasodilators evaluated by Doppler-Echocardiography. The etiological diagnosis was confirmed and initialized the anticoagulant treatment. We had observed a significant regression of peak gradient atrioventricular by continuous wave Doppler and a complete clinical normalization.

摘要

我们报告了一名年轻男性的病例,其因先天性蛋白C缺乏继发多发性血栓栓塞而导致严重肺动脉高压。在血液学治疗的前一阶段,通过多普勒超声心动图评估,我们发现他对血管扩张剂反应很差。病因诊断得到证实并开始了抗凝治疗。我们观察到连续波多普勒显示的房室峰值梯度有显著下降,且临床完全恢复正常。

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